Dr Basit G Nisbeth, DDS | |
2421 183rd St, Homewood, IL 60430-3120 | |
(708) 917-5041 | |
(708) 365-6184 |
Full Name | Dr Basit G Nisbeth |
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Gender | Male |
Speciality | Dentist |
Location | 2421 183rd St, Homewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265663157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019-022628 (Illinois) | Primary |
1223G0001X | Dentist - General Practice | 019-022628 (Illinois) | Secondary |
Entity Name | Franklin Primary Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679532303 PECOS PAC ID: 1658356308 Enrollment ID: O20040618000827 |
Mailing Address | Practice Location Address |
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Dr Basit G Nisbeth, DDS 18430 S Halsted St, Glenwood, IL 60425-1013 Ph: (708) 755-7605 | Dr Basit G Nisbeth, DDS 2421 183rd St, Homewood, IL 60430-3120 Ph: (708) 917-5041 |
Dr. David D. Dunagan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 17926 Halsted St, 3-sw, Homewood, IL 60430 Phone: 708-798-7940 | |
Dr. Gregory J Duffner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 18040 Park Ave, Homewood, IL 60430 Phone: 708-798-6868 Fax: 708-798-6988 | |
Dr. David Duane Mayer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 18114 Gottschalk Ave, Homewood, IL 60430 Phone: 708-799-5353 Fax: 708-799-5449 | |
Dr. Ulfath Jameel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18650 Dixie Hwy, Homewood, IL 60430 Phone: 708-315-2764 | |
Dr. Morgan Danielle Rigsby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18243 Harwood Ave, Homewood, IL 60430 Phone: 708-866-0057 | |
Dr. Sandy Ellen Kauffman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 18154 Harwood Ave, Ste 105, Homewood, IL 60430 Phone: 708-798-6888 |