Dr Alan James Brongiel, MD | |
1141 E Main St Ste 105, East Dundee, IL 60118-2440 | |
(847) 428-3322 | |
Not Available |
Full Name | Dr Alan James Brongiel |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1141 E Main St Ste 105, East Dundee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689785966 | NPI | - | NPPES |
1615242 | Other | IL | BCBS |
21609105 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 036-055721 (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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Dr Alan James Brongiel, MD 1860 Paysphere Cir, Chicago, IL 60674-2440 Ph: (630) 469-2000 | Dr Alan James Brongiel, MD 1141 E Main St Ste 105, East Dundee, IL 60118-2440 Ph: (847) 428-3322 |
Faiza A Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 E Main St, East Dundee, IL 60118 Phone: 847-426-0600 | |
Dr. Todd A Gephart, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 East Main Street, Suite 105, East Dundee, IL 60118 Phone: 847-428-3322 Fax: 847-428-0472 | |
Dr. Gary R Lewison, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 East Main Street, Suite 105, East Dundee, IL 60118 Phone: 847-428-3322 | |
Dr. Jemini G Ignacio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 E Main St, Suite 105, East Dundee, IL 60118 Phone: 847-428-3322 Fax: 847-428-0472 | |
Steven Rehusch, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 E Main St Ste 105, East Dundee, IL 60118 Phone: 847-428-3322 |