Dr Charles K Brown, MD | |
5201 Willow Springs Rd Ste 290, La Grange Highlands, IL 60525-6506 | |
(708) 579-0018 | |
Not Available |
Full Name | Dr Charles K Brown |
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Gender | Male |
Speciality | Surgery - Surgical Oncology |
Location | 5201 Willow Springs Rd Ste 290, La Grange Highlands, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942272968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 036.102156 (Illinois) | Primary |
Entity Name | Ctca Physicians Group Of Illinois, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699763185 PECOS PAC ID: 7113998436 Enrollment ID: O20040802000924 |
Mailing Address | Practice Location Address |
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Dr Charles K Brown, MD 5201 Willow Springs Rd Ste 290, La Grange Highlands, IL 60525-6506 Ph: (708) 579-0018 | Dr Charles K Brown, MD 5201 Willow Springs Rd Ste 290, La Grange Highlands, IL 60525-6506 Ph: (708) 579-0018 |
Dr. William Frymark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5201 Willow Springs Rd, Suite 290, La Grange Highlands, IL 60525 Phone: 708-579-0018 Fax: 708-354-0264 | |
Dr. David H Park, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, Suite #290, La Grange Highlands, IL 60525 Phone: 708-579-0018 Fax: 708-579-7571 | |
Sami M Bittar, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5201 Willow Springs Rd, Suite 440, La Grange Highlands, IL 60525 Phone: 708-354-4667 Fax: 708-354-6454 | |
Dr. Eric Yang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, Suite 290, La Grange Highlands, IL 60525 Phone: 708-579-0018 Fax: 708-579-0054 |