Dr Douglas Ray Bierma Jr, MD | |
700 W Jefferson St, Shorewood, IL 60431-7608 | |
(815) 741-2888 | |
Not Available |
Full Name | Dr Douglas Ray Bierma Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 700 W Jefferson St, Shorewood, 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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1326034422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 03609995 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
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Dr Douglas Ray Bierma Jr, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Dr Douglas Ray Bierma Jr, MD 700 W Jefferson St, Shorewood, IL 60431-7608 Ph: (815) 741-2888 |
Mr. Bruno John Jercinovic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 W Jefferson St, Shorewood, IL 60404 Phone: 815-729-1144 Fax: 815-729-2587 | |
Dr. Thomas John Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Jefferson St, Shorewood, IL 60431 Phone: 815-741-2888 | |
Dr. Spomenka Jercinovic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 W Jefferson St, Shorewood, IL 60404 Phone: 815-729-1144 Fax: 815-729-2587 | |
Dr. Ayezah Mir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Jefferson St, Shorewood, IL 60404 Phone: 815-514-2040 Fax: 815-741-2860 |