Dr Charisa M Spoo, DO | |
4440 W 95th, Radiology Department, Oak Lawn, IL 60453 | |
(708) 684-8000 | |
Not Available |
Full Name | Dr Charisa M Spoo |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 38 Years |
Location | 4440 W 95th, Oak Lawn, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326143439 | NPI | - | NPPES |
036078515 | Medicaid | IL | |
P00110671 | Other | IL | RAILROAD |
1618334 | Other | IL | BCBS ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036078515 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
Advocate Trinity Hospital | Chicago, IL | Hospital |
Palos Community Hospital | Palos heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Imaging Consultants Llc | 2567784408 | 169 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
Mailing Address | Practice Location Address |
---|---|
Dr Charisa M Spoo, DO 4440 W 95th St, Radiology Department, Oak Lawn, IL 60453 Ph: (708) 684-8000 | Dr Charisa M Spoo, DO 4440 W 95th, Radiology Department, Oak Lawn, IL 60453 Ph: (708) 684-8000 |
Dr. Choong H Koh, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653 Phone: 708-345-5520 | |
Dr. Paul Michael Guzzetta Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-3077 Fax: 708-684-4800 | |
Dr. Myrosia Tomiak Mitchell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453 Phone: 708-915-5671 Fax: 708-915-4022 | |
Nihal Gooneratne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-648-5520 | |
Paul Montgomery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St Dept Of, Oak Lawn, IL 60453 Phone: 708-684-5503 Fax: 708-684-2675 | |
Antoine Azar, MD Radiology Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-6949 | |
Dr. Hyuk Jason Kang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-346-3055 |