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Contact Information

ROMAN D MYCYK DDS & JAMES CIESCO DDS A PARTNERSHIP
6315 NO MILWAUKEE AVE
CHICAGO, IL60646
 Phone: 773-774-1493
 Fax: 773-774-3193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ROMAN D MYCYK DDS & JAMES CIESCO DDS A PARTNERSHIP

NPI # 1013068980
LBN Legal business name ROMAN D MYCYK DDS & JAMES CIESCO DDS A PARTNERSHIP
Authorized official ROMAN MYCYK - (CO OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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