| Dr Andrew L Marchese Jr, DDS | |
|
5635 State Rd, Burbank, IL 60459-2051 | |
| (708) 424-9200 | |
| Not Available |
| Full Name | Dr Andrew L Marchese Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 5635 State Rd, Burbank, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144399593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19-17914 (Illinois) | Primary |
| Entity Name | Stickney Public Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578765426 PECOS PAC ID: 4183798127 Enrollment ID: O20080808000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew L Marchese Jr, DDS 5635 State Rd, Burbank, IL 60459-2051 Ph: (630) 832-5623 | Dr Andrew L Marchese Jr, DDS 5635 State Rd, Burbank, IL 60459-2051 Ph: (708) 424-9200 |
Tamara Faris, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5307 W 79th St, Burbank, IL 60459 Phone: 708-424-5650 | |
Dr. Mohamed M Hindy, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4817 W 83rd St, Burbank, IL 60459 Phone: 708-423-6114 Fax: 708-229-0716 | |
Dr. Mark L Tannenbaum, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5307 W 79th St, Burbank, IL 60459 Phone: 708-424-5650 | |
Dr. Kenneth Y Wu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5624 W 79th St, #5, Burbank, IL 60459 Phone: 630-209-5351 | |
Dr. Michael Kowalik, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6320 W 79th St, Burbank, IL 60459 Phone: 708-599-3333 Fax: 708-599-1017 | |
Adam Elmosa, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5600 W 87th St, Burbank, IL 60459 Phone: 708-952-0000 |