Andrew J Johanek, | |
2300 N Childrens Plz, Chicago, IL 60614-3363 | |
(773) 880-3521 | |
Not Available |
Full Name | Andrew J Johanek |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 2300 N Childrens Plz, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437187366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
2085P0229X | Radiology - Pediatric Radiology | (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Morris Hospital & Healthcare Centers | Morris, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grundy Radiologists Inc | 2961597901 | 5 |
Entity Name | Joliet Radiological Service Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295846343 PECOS PAC ID: 2961460654 Enrollment ID: O20041228000714 |
Entity Name | Grundy Radiologists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386837987 PECOS PAC ID: 2961597901 Enrollment ID: O20071004000832 |
Mailing Address | Practice Location Address |
---|---|
Andrew J Johanek, 246 N Warwick Ave, Westmont, IL 60559-1718 Ph: (630) 541-8956 | Andrew J Johanek, 2300 N Childrens Plz, Chicago, IL 60614-3363 Ph: (773) 880-3521 |
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