Charles Bouchard, MD | |
2160 S First Ave, (17w740 22nd Street, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | |
(630) 627-7399 | |
(630) 627-7079 |
Full Name | Charles Bouchard |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 39 Years |
Location | 2160 S First Ave, Maywood, 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 |
---|---|---|---|
1902872393 | NPI | - | NPPES |
36080233 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 36080233 (Illinois) | Secondary |
207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 036080233 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Charles Bouchard, MD 2160 S First Ave, (17w740 22nd Street, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 Ph: (630) 627-7399 | Charles Bouchard, MD 2160 S First Ave, (17w740 22nd Street, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 Ph: (630) 627-7399 |
Susanne Tidow-kebritchi, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, (9608 Roberts Rd, Hickory Hills, Il. 60457), Maywood, IL 60153 Phone: 708-233-5333 Fax: 708-233-5348 | |
Shuchi Bharat Patel, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-7960 Fax: 708-216-3557 | |
Christina Angeline Mamalis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
James Ford Mcdonnell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, (luh - No. Ent., Rm 2601), Maywood, IL 60153 Phone: 708-216-3408 Fax: 708-216-3557 | |
Nolan Jesse Adams, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Clayton Kirk, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6262 Fax: 708-216-3557 | |
Mackenzie Marie Sward, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Loyola University Medical Center Dept Of Ophthalmology, Maywood, IL 60153 Phone: 320-219-0531 |