Anthony Christopher Illing, MD | |
1905 N Calhoun Rd, Brookfield, WI 53005-5005 | |
(262) 754-8000 | |
(262) 780-3396 |
Full Name | Anthony Christopher Illing |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 1905 N Calhoun Rd, Brookfield, Wisconsin |
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 |
---|---|---|---|
1124319215 | NPI | - | NPPES |
1124319215 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01076842A (Indiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 81484 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana Orthopaedic Hospital, Llc | Indianapolis, IN | Hospital |
Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
Riverview Health | Noblesville, IN | Hospital |
Witham Health Services | Lebanon, IN | Hospital |
Riverside Methodist Hospital | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Radiology Network Pc | 1557331261 | 31 |
Riverside Radiology And Interventional Associates Inc | 8729976964 | 198 |
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Entity Name | Northwest Radiology Network Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447259338 PECOS PAC ID: 1557331261 Enrollment ID: O20040729000990 |
Entity Name | Riverside Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20230426000333 |
Mailing Address | Practice Location Address |
---|---|
Anthony Christopher Illing, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-2060 | Anthony Christopher Illing, MD 1905 N Calhoun Rd, Brookfield, WI 53005-5005 Ph: (262) 754-8000 |
Susan C Minikel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15905 Heather Hill Dr, Brookfield, WI 53005 Phone: 262-781-6965 Fax: 262-781-6965 | |
Stuart E Blacher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 414-447-2221 Fax: 262-641-6880 | |
Laura Field, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1905 N Calhoun Rd, Brookfield, WI 53005 Phone: 262-754-8000 Fax: 262-780-3396 | |
Dr. Joseph B Lee, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 17000 W North Ave, Suite 200e, Brookfield, WI 53005 Phone: 262-782-4270 Fax: 262-784-9319 | |
Shannon Offerman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-780-4100 | |
William Stuart Goell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 19095 Blue Ridge Ct, Brookfield, WI 53045 Phone: 262-790-8988 |