Dr Edgar Dizon, MD | |
900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | |
(630) 954-6700 | |
(630) 954-1555 |
Full Name | Dr Edgar Dizon |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 900 Jorie Blvd, Oak Brook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932141090 | NPI | - | NPPES |
200409240A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01028348A (Indiana) | Primary |
Entity Name | The Methodist Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
Mailing Address | Practice Location Address |
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Dr Edgar Dizon, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 | Dr Edgar Dizon, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 |
Arvind Shukla, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Moon Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Emelie Medalle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Dr. Shobhana Ravikumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Dr. Antranik S Poladian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 963-954-1555 | |
Leonardo Malalis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Helen Kusi, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 |