Sargon B Odisho


Address: 3139 W 111th St, Chicago, IL 60655-2205

Sargon B Odisho (NPI# 1790714061, PAC ID# 5799785655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

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

Other Locations

Address Phone Organization
3139 W 111th St, Chicago, IL 60655-2205

Organization Information

Office Location

Street Address 3139 W 111TH ST
City CHICAGO
State IL
Zip 60655-2205

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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
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Competitor

Search similar physicians

City CHICAGO
Zip Code 60655
Specialty CHIROPRACTIC
City + Specialty CHICAGO + CHIROPRACTIC

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Dataset Information

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.

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