Autumn E Bernicky, DO | |
2900 Foxfield Rd Ste 307, St Charles, IL 60174-5799 | |
(630) 208-3200 | |
(630) 208-3201 |
Full Name | Autumn E Bernicky |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2900 Foxfield Rd Ste 307, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225664220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036162853 (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 |
---|---|
Autumn E Bernicky, DO 2900 Foxfield Rd Ste 307, St Charles, IL 60174-5799 Ph: (630) 208-3200 | Autumn E Bernicky, DO 2900 Foxfield Rd Ste 307, St Charles, IL 60174-5799 Ph: (630) 208-3200 |
Robert Wayne Long, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Tyler Rd, St Charles, IL 60174 Phone: 630-584-2070 | |
Dr. Robert Joseph Calabria, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-513-8275 Fax: 630-513-9208 | |
Elizabeth W Heredia, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-7900 Fax: 630-377-8007 | |
Madeline Carol Kwiatkowski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-7900 Fax: 630-377-8007 | |
Dr. Kevin Philip Wakeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-6500 | |
Dr. Wilbert H. Hohm, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 S 4th St, St Charles, IL 60174 Phone: 630-584-1496 |