Donald R Kennard, MD | |
3701 Doty Road, Memorial Medical Center / Radiology Department, Woodstock, IL 60098 | |
(815) 338-2500 | |
(815) 334-3066 |
Full Name | Donald R Kennard |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3701 Doty Road, Woodstock, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295736080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
Entity Name | Mchenry Radiologists And Imaging Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083637094 PECOS PAC ID: 7810959004 Enrollment ID: O20041030000035 |
Mailing Address | Practice Location Address |
---|---|
Donald R Kennard, MD 520 E 22nd St, Lombard, IL 60148-6110 Ph: (630) 874-2542 | Donald R Kennard, MD 3701 Doty Road, Memorial Medical Center / Radiology Department, Woodstock, IL 60098 Ph: (815) 338-2500 |
Nancy R. Sagona, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Rd, Memorial Medical Center / Radiology Depar, Woodstock, IL 60098 Phone: 815-338-2500 Fax: 815-334-3066 | |
Mark S. Schiffer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-338-2500 Fax: 815-334-3066 |