Antonio T Caceres, MD | |
472 Briargate Dr Ste 107, South Elgin, IL 60177-2225 | |
(630) 315-1600 | |
(630) 315-1683 |
Full Name | Antonio T Caceres |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 472 Briargate Dr Ste 107, South Elgin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780692525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 68212-20 (Wisconsin) | Secondary |
208000000X | Pediatrics | 036096583 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
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Antonio T Caceres, MD 472 Briargate Dr Ste 107, South Elgin, IL 60177-2225 Ph: (630) 315-1600 | Antonio T Caceres, MD 472 Briargate Dr Ste 107, South Elgin, IL 60177-2225 Ph: (630) 315-1600 |
Perniya Masood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 472 Briargate Dr, South Elgin, IL 60177 Phone: 847-717-6400 Fax: 847-717-0500 | |
Jesse Freidel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 107 S Mclean Blvd Ste B, South Elgin, IL 60177 Phone: 847-695-9900 | |
Dr. Jennifer L Schening, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 107 S Mclean Blvd, Ste B, South Elgin, IL 60177 Phone: 847-695-9900 Fax: 847-695-9989 |