Sargon B Odisho (NPI# 1790714061, PAC ID# 5799785655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1790714061 |
PAC ID by PECOS | 5799785655 |
Professional Enrollment ID | I20061228000199 |
Full Name | Sargon B Odisho |
Address |
3139 W 111th St Chicago IL 60655-2205 |
Gender | M |
Credential | DC |
Medical School | NATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT |
Graduation Year | 2005 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3139 W 111th St, Chicago, IL 60655-2205 |
Street Address |
3139 W 111TH ST |
City | CHICAGO |
State | IL |
Zip | 60655-2205 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen M Daly | Podiatry | 10431 S Kedzie, Chicago, IL 60655-2017 | |
Eileen M Bush | Optometry | Bush Family Eye Care LLC | 10434 S Kedzie Ave, Chicago, IL 60655-2018 |
Wayne E Cooper | Podiatry | Preferred Podiatry Group PC | 10444 S Kedzie Ave, Chicago, IL 60655-2018 |
Elizabeth J Bush | Optometry | Bush Family Eye Care LLC | 10434 S Kedzie Ave, Chicago, IL 60655-2018 |
Guillermo Gamboa | Optometry | Bush Family Eye Care LLC | 10434 S Kedzie Ave, Chicago, IL 60655-2018 |
Julia Philip-kuli | Family Medicine | Little Company of Mary Affiliated Services Inc | 10961 S Kedzie Ave, Chicago, IL 60655-2219 |
Thomas P Toulios | Chiropractic | 11001 S Kedzie Ave, Chicago, IL 60655-2221 | |
Michael W Hausch | Chiropractic | 11001 S Kedzie Ave, Chicago, IL 60655-2221 | |
George Michael Nista | Optometry | 3135 W 111th St, Chicago, IL 60655-2223 | |
Dijana Mirkovic | Podiatry | Chicagoland Foot and Ankle, PC | 3260 W 111th St, Chicago, IL 60655-2729 |
Find all physicians in zip 60655 |
City | CHICAGO |
Zip Code | 60655 |
Specialty | CHIROPRACTIC |
City + Specialty | CHICAGO + CHIROPRACTIC |
Please comment or provide details below to improve the information on Sargon B Odisho.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.