Elizabeth Tomczyk, | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Elizabeth Tomczyk |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396277133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10913 (Oregon) | Primary |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Tomczyk, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Elizabeth Tomczyk, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Ian Charles Mccomb, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Nicholas Robert Tokarski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1516 Madison St, Maywood, IL 60153 Phone: 708-344-1880 | |
Rana Ghazan Shahi, D.D.S., MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-3041 | |
Dr. Austin Lucas Cacciaglia, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Steven Jeffrey Daws, Dentist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Cameron James Walker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave Rm 1814, Maywood, IL 60153 Phone: 708-327-3041 | |
Christopher John Doran, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Building 105, Room 1814, Maywood, IL 60153 Phone: 708-327-3041 |