Brian J Blonigen, MD | |
2614 W Jefferson St, Joliet, IL 60435-6433 | |
(815) 725-1355 | |
(815) 730-3020 |
Full Name | Brian J Blonigen |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 20 Years |
Location | 2614 W Jefferson St, Joliet, 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 |
---|---|---|---|
1134330426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 57009754 (Ohio) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 036.129649 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Munster, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
St Catherine Hospital Inc | East chicago, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Network Inc | 3678737012 | 346 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Brian J Blonigen, MD 15 Salt Creek Ln Ste 105, Hinsdale, IL 60521-2979 Ph: (630) 734-9560 | Brian J Blonigen, MD 2614 W Jefferson St, Joliet, IL 60435-6433 Ph: (815) 725-1355 |
Shin I Nam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple Road, Joliet, IL 60432 Phone: 815-723-9351 Fax: 815-723-9823 | |
Dr. Spiro Panagakis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple Rd, Suite 3309, Joliet, IL 60432 Phone: 815-723-9351 Fax: 815-723-9823 | |
John Scott Groch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Madison, St Joseph Medical Center, Joliet, IL 60435 Phone: 815-741-7200 Fax: 815-741-7591 | |
Michelle Philip, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3400 Fax: 815-730-6382 | |
Dr. Samia Luka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1301 Copperfield Ave, Suite 116, Joliet, IL 60432 Phone: 815-722-1818 Fax: 815-722-2533 | |
Dr. Nasir A Siddiqui, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3400 Fax: 815-730-6382 |