Daniel Lee Houlihan, DO | |
351 Executive Pkwy, Rockford, IL 61107-5339 | |
(815) 398-4057 | |
Not Available |
Full Name | Daniel Lee Houlihan |
---|---|
Gender | Male |
Speciality | Urology |
Location | 351 Executive Pkwy, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003886094 | NPI | - | NPPES |
036067790 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036067790 (Illinois) | Primary |
Entity Name | United Shockwave Services Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
Mailing Address | Practice Location Address |
---|---|
Daniel Lee Houlihan, DO 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 | Daniel Lee Houlihan, DO 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 |
Dr. Luke Richard Frederick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Ashley Wire, FNP-BC Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Christopher Whelan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-316-4296 | |
Douglas Paul Roegner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Daniel Lawler Swift, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Michael John Fumo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 |