Daniel J Douglas, MD | |
908 N Elm St, Suite 310, Hinsdale, IL 60521-3625 | |
(630) 325-3310 | |
(630) 325-9163 |
Full Name | Daniel J Douglas |
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Gender | Male |
Speciality | Surgery |
Location | 908 N Elm St, Hinsdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417959180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 036067860 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
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Daniel J Douglas, MD 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 325-3310 | Daniel J Douglas, MD 908 N Elm St, Suite 310, Hinsdale, IL 60521-3625 Ph: (630) 325-3310 |
Dr. Fredrik Paul Tolin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 908 N Elm St, Suite 310, Hinsdale, IL 60521 Phone: 630-325-3310 Fax: 630-352-9163 | |
Bruce C Dillon, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 908 N Elm St, Suite 310, Hinsdale, IL 60521 Phone: 630-325-3310 Fax: 630-325-9163 | |
Vafa Shayani, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 N Elm St, Hinsdale, IL 60521 Phone: 630-468-2545 Fax: 630-986-5591 | |
John Wander, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 908 N Elm St, Suite 310, Hinsdale, IL 60521 Phone: 630-325-3310 Fax: 630-325-9163 | |
Dr. George R Kapusta, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 422 Birchwood Rd, Hinsdale, IL 60521 Phone: 630-655-3432 | |
John Joseph Bulger Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 E Ogden Ave, Hinsdale, IL 60521 Phone: 630-325-9430 Fax: 630-325-9433 |