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NPI Code Detail

MEDICARE: DR. NIHAL OZDEMIR BICAKCI D.D.S

MEDICARE: DR. NIHAL OZDEMIR BICAKCI D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist019026905IL

General Provider Information

NPI Number : 1346455359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIHAL OZDEMIR BICAKCI D.D.S
Provider Business Mailing Address
First Line : 430 W ERIE ST
Second Line : STE 500
City : CHICAGO
State : IL
Zip : 60610-6914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3057 W CERMAK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60623-3548
Country : US
Telephone Number : 773-257-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2007
Last Update Date : 07/08/2007

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