| Isabel Anne Pennings, DDS | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (888) 584-7888 | |
| Not Available |
| Full Name | Isabel Anne Pennings |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| 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 |
|---|---|---|---|
| 1467073668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019032773 (Illinois) | Secondary |
| 122300000X | Dentist | 019.032773 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Isabel Anne Pennings, DDS 343 W Wolf Point Plz Unit 306, Chicago, IL 60654-8898 Ph: (208) 755-6575 | Isabel Anne Pennings, DDS 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
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 |