Dr Crystal Banks Daniels, MD | |
228 E Lake St, Addison, IL 60101-2889 | |
(630) 835-1430 | |
(630) 835-1433 |
Full Name | Dr Crystal Banks Daniels |
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Gender | Female |
Speciality | Pediatrics |
Location | 228 E Lake St, Addison, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962400556 | NPI | - | NPPES |
4483489 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301057725 (Michigan) | Primary |
Entity Name | Hamdard Center For Health And Human Services, Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609875053 PECOS PAC ID: 4880680289 Enrollment ID: O20040421001679 |
Entity Name | Midwest Refuah Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518601004 PECOS PAC ID: 5193103653 Enrollment ID: O20220613000782 |
Mailing Address | Practice Location Address |
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Dr Crystal Banks Daniels, MD 228 E Lake St, Addison, IL 60101-2889 Ph: (630) 835-1430 | Dr Crystal Banks Daniels, MD 228 E Lake St, Addison, IL 60101-2889 Ph: (630) 835-1430 |
Dr. Sharon Thomas Flint, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 N Lake St, Addison, IL 60101 Phone: 630-545-3020 Fax: 630-543-1551 | |
Dr. Renu Jain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 N Addison Road, Suite 106, Addison, IL 60101 Phone: 630-530-2224 Fax: 630-530-2267 | |
Dr. Merrick Jay Bromberg, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Suite 102, Addison, IL 60101 Phone: 630-543-3020 Fax: 630-543-1551 | |
Dr. Paula Ann Bebej, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake Street Suite 102, Addison, IL 60101 Phone: 630-543-3020 Fax: 630-543-1551 | |
Gina Ann Mathew, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1339 W Lake St, Addison, IL 60101 Phone: 630-930-5600 |