Dr Anthony O Foulen, MD | |
1501 S California Ave, Chicago, IL 60608-1732 | |
(773) 257-6850 | |
Not Available |
Full Name | Dr Anthony O Foulen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 1501 S California Ave, Chicago, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194724104 | NPI | - | NPPES |
036-109108-1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710198379 PECOS PAC ID: 1355259714 Enrollment ID: O20070922000105 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony O Foulen, MD 3537 Paysphere Cir, Chicago, IL 60674-0035 Ph: (708) 786-2900 | Dr Anthony O Foulen, MD 1501 S California Ave, Chicago, IL 60608-1732 Ph: (773) 257-6850 |
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Samuel Johnson, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St Ste 403, Chicago, IL 60612 Phone: 312-942-3134 Fax: 501-380-2282 | |
Dr. Kimberly Lois Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 E 51st St, Chicago, IL 60615 Phone: 312-572-2680 Fax: 312-572-2686 |