Organization
MARSHALL SHIKAMI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL J SHIKAMI DDS (PRESIDENT)
(708) 754-1063
Entity
Organization
Contact information
Practice address
1526 S HALSTED ST, CHICAGO HEIGHTS, IL 60411-3523
(708) 754-1063
(708) 755-4696
Mailing address
1526 S HALSTED ST, CHICAGO HEIGHTS, IL 60411-3523
(708) 754-1063
(708) 755-4696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018895
IL
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/15/2008
Last updated
01/20/2017
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