Dr David Shiyu Zhu, MD | |
4802 S State Route 159, Glen Carbon, IL 62034-1904 | |
(618) 288-4388 | |
Not Available |
Full Name | Dr David Shiyu Zhu |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 4802 S State Route 159, Glen Carbon, 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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1821440751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 125.069442 (Illinois) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 036.161379 (Illinois) | Primary |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Entity Name | Ahs Il Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
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Dr David Shiyu Zhu, MD 9468 Greystone Pkwy, Brecksville, OH 44141-2942 Ph: () - | Dr David Shiyu Zhu, MD 4802 S State Route 159, Glen Carbon, IL 62034-1904 Ph: (618) 288-4388 |
Timothy J Penn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
James Sola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Craig A Beyer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Peter J Anderson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034 Phone: 618-391-5080 | |
Paul J Scherer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034 Phone: 618-391-5080 |