Dr David L Mutchnik, MD | |
9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 | |
(847) 677-4111 | |
(847) 677-3343 |
Full Name | Dr David L Mutchnik |
---|---|
Gender | Male |
Speciality | Urology |
Location | 9669 Kenton Ave, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417917006 | NPI | - | NPPES |
036038702 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036038702 (Illinois) | Primary |
Entity Name | United Shockwave Services Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
Mailing Address | Practice Location Address |
---|---|
Dr David L Mutchnik, MD 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 Ph: (847) 677-4111 | Dr David L Mutchnik, MD 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 Ph: (847) 677-4111 |
John Milner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9669 Kenton Ave, Ste. 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343 | |
Sangtae Park, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9711 Skokie Blvd, Ste H, Skokie, IL 60077 Phone: 847-676-2400 Fax: 847-676-2485 | |
Dr. Steven E. Mutchnik, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9669 Kenton Ave, Suite 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343 | |
Dr. Sam Lipshitz, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7520 Skokie Blvd, Skokie, IL 60077 Phone: 847-514-2662 | |
Israel Berger, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Suite 306, Skokie, IL 60076 Phone: 847-329-0900 Fax: 847-679-3817 | |
Dr. Lev Elterman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4959 Golf Rd, Skokie, IL 60077 Phone: 847-410-8416 Fax: 224-496-2424 |