Dr Antonio Fiumara, MD | |
900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | |
(630) 954-6700 | |
(630) 954-1555 |
Full Name | Dr Antonio Fiumara |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 900 Jorie Blvd, Oak Brook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821035395 | NPI | - | NPPES |
036086999 | Medicaid | IL | |
L76270 | Other | IL | MEDICARE PIN - 645650 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036086999 (Illinois) | Primary |
Entity Name | Freeport Regional Health Care Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Entity Name | Freeport Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
Mailing Address | Practice Location Address |
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Dr Antonio Fiumara, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 | Dr Antonio Fiumara, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 |
Arvind Shukla, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Moon Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Emelie Medalle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Dr. Shobhana Ravikumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Dr. Antranik S Poladian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 963-954-1555 | |
Leonardo Malalis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Helen Kusi, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 |