| Dr Steven Licht, DMD | |
|
801 S Paulina St, Chicago, IL 60612-7210 | |
| (312) 996-7555 | |
| Not Available |
| Full Name | Dr Steven Licht |
|---|---|
| Gender | Male |
| Speciality | Oral Surgery |
| Experience | 6 Years |
| Location | 801 S Paulina St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841829090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019.032679 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Pittsburgh Oral Surgery Assoc Ltd | 1355389537 | 6 |
| Entity Name | North Pittsburgh Oral Surgery Assoc Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659556728 PECOS PAC ID: 1355389537 Enrollment ID: O20050419000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Licht, DMD 801 S Paulina St Rm 110, Chicago, IL 60612-7210 Ph: (312) 996-1052 | Dr Steven Licht, DMD 801 S Paulina St, Chicago, IL 60612-7210 Ph: (312) 996-7555 |
Dr. Philip E Fidel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647 Phone: 773-276-0300 Fax: 773-252-5994 |
Theresa Westfallen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1738 W North Ave, Chicago, IL 60622 Phone: 773-276-5566 Fax: 773-276-8780 |
Dr. Justine S Gasior, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629 Phone: 773-581-4627 Fax: 773-581-3155 |
Dr. William Kwok Kuen Wan, M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616 Phone: 312-791-1013 Fax: 312-791-1444 |
Gandy S Garcia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930 |
Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526 |
Dr. Maria Borzecka, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3256 N Pulaski Rd, Chicago, IL 60641 Phone: 773-481-1900 Fax: 773-481-7003 |