Dr Charles A Longdon, DO | |
10400 Haligus Rd, Huntley, IL 60142-9553 | |
(224) 654-0100 | |
(224) 654-0105 |
Full Name | Dr Charles A Longdon |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 10400 Haligus Rd, Huntley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770512170 | NPI | - | NPPES |
43498200 | Medicaid | WI | |
930121753 | Other | WI | MEDICARE RAILROAD |
930123615 | Other | WI | MEDICARE RAILROAD |
P00153529 | Other | WI | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 44365-021 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 036109417 (Illinois) | Primary |
Entity Name | Froedtert South Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
Entity Name | Door County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093743874 PECOS PAC ID: 5395735088 Enrollment ID: O20040514000588 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles A Longdon, DO 10400 Haligus Rd, Huntley, IL 60142-9553 Ph: (224) 654-0100 | Dr Charles A Longdon, DO 10400 Haligus Rd, Huntley, IL 60142-9553 Ph: (224) 654-0100 |
Patrick J Camodeca, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7112 | |
Dr. Al Sarraj, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 | |
Abdel H Noureldin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 | |
Nikita Yogesh Patel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0100 Fax: 224-654-0105 | |
Christopher Ring, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0000 | |
Dr. Kevin E Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-669-2980 | |
Dr. Hemant R Patel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7112 |