Diana Stiegal, DO | |
885 Roosevelt Rd Ste 202, Glen Ellyn, IL 60137-6141 | |
(630) 790-1555 | |
(630) 545-3787 |
Full Name | Diana Stiegal |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 885 Roosevelt Rd Ste 202, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477181204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125.046468 (Illinois) | Secondary |
208000000X | Pediatrics | 036162094 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Diana Stiegal, DO 4400 W 95th St, Oak Lawn, IL 60453-2654 Ph: (708) 684-8000 | Diana Stiegal, DO 885 Roosevelt Rd Ste 202, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555 |
Tahmineh Abbasian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Panorea Mathews-kukla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Sarah Choudhry, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave Ste 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 Fax: 630-545-7851 | |
Jayshree Vajaria, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Jennifer Blount, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Dr. Yasir Kazmi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 Pennsylvania Ave, 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 | |
David Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 |