Jack D Manikowski is a Dentist in Chicago, Illinois. Jack D Manikowski practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack D Manikowski is 1710146964. The last update date is 2008-06-03.
Jack D Manikowski's current location address is 1701 N Sheffield Ave, Chicago, Illinois. You can contact this provider via phone number 3127777855. The mailing address for Jack D Manikowski is 1701 N Sheffield Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D Manikowski |
|---|---|
| Address | 1701 N Sheffield Ave, Chicago, Illinois |
| Phone Number | 3127777855 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS PC |
NPI Number Detail
| NPI Number | 1710146964 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 1701 N Sheffield Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60614 |
| Phone Number | 3127777855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19024233 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Jack D Manikowski by the Centers for Medicare & Medicaid Services (CMS)?
The Jack D Manikowski has been assigned the NPI (National Provider Identifier) 1710146964. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jack D Manikowski is physically located?
The Jack D Manikowski is situated at the following address: 1701 N Sheffield Ave, Chicago, IL 60614.
What is Jack D Manikowski's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack D Manikowski is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When was the Jack D Manikowski's 1710146964 issued?
The Jack D Manikowski's 1710146964 was issued on 2008-06-03.
As of what date were the details related to Jack D Manikowski most recently updated or revised?
The information pertaining to Jack D Manikowski, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-03.