Christopher Matthew Davis, MD | |
355 Ridge Ave, Evanston, IL 60202-3328 | |
(262) 292-3151 | |
Not Available |
Full Name | Christopher Matthew Davis |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 355 Ridge Ave, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639609951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036.165362 (Illinois) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 036.165362 (Illinois) | Primary |
Entity Name | Precision Radiology - Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265156640 PECOS PAC ID: 6305218298 Enrollment ID: O20230216001690 |
Mailing Address | Practice Location Address |
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Christopher Matthew Davis, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (262) 292-3151 | Christopher Matthew Davis, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (262) 292-3151 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Jacob Seth Ecanow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Radiology, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 |