Debra Rae Cody, MD | |
259 E Erie St, Chicago, IL 60611-2987 | |
(312) 695-6868 | |
Not Available |
Full Name | Debra Rae Cody |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 259 E Erie St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134261159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36097859 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Central Dupage Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723 |
Mailing Address | Practice Location Address |
---|---|
Debra Rae Cody, MD 680 N Lake Shore Dr, Chicago, IL 60611-4546 Ph: (312) 695-6868 | Debra Rae Cody, MD 259 E Erie St, Chicago, IL 60611-2987 Ph: (312) 695-6868 |
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