Organization
JDM DDS PC
Active
Other names
JACK D MANIKOWSKI DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D MANIKOWSKI DDS (PRESIDENT)
(312) 213-4179
Entity
Organization
Contact information
Practice address
6315 N MILWAUKEE AVE, CHICAGO, IL 60646-3760
(773) 774-1493
Mailing address
1701 N SHEFFIELD AVE STE 101, CHICAGO, IL 60614-5549
(312) 337-1665
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710146964
NPI
—
Enumeration date
07/25/2022
Last updated
07/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us