OrganizationActive
Jd Manikowski, D.D.S., LLC
NPI 1740729474 · Health Maintenance Organization · Chicago, IL
Provider details
- NPI number
- 1740729474
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Jack Manikowski, Owner
- License
- 019.024233 (IL)
Practice location
30 N. Michigan Ave #1520
Chicago, IL 60602
Phone: (312) 236-9325
Fax: (312) 236-2901
Mailing address
1701 N. Sheffield Ave
Chicago, IL 60614
Registry dates
- Enumerated
- 2017-02-14
- Last updated
- 2017-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.