Organization
JD MANIKOWSKI, D.D.S., LLC
Active
Other names
Lincoln Park Smiles in the Loop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK JOHN MANIKOWSKI (OWNER)
(312) 236-9325
Entity
Organization
Contact information
Practice address
30 N. MICHIGAN AVE #1520, CHICAGO, IL 60602
(312) 236-9325
(312) 236-2901
Mailing address
1701 N. SHEFFIELD AVE, CHICAGO, IL 60614
(312) 337-1665
(312) 337-1675
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
019.024233
IL
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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