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Contact Information

JDM DDS PC
6315 N MILWAUKEE AVE
CHICAGO, IL60646-3760
 Phone: 773-774-1493
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for JDM DDS PC

NPI Number 1811623788
LBN Legal business name JDM DDS PC
Authorized official JOHN MANIKOWSKI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2022
Last updated 07/25/2022 - About 4 years ago
Identifiers
Other 1710146964 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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