Dr Eric Donald Donnelly, MD | |
251 E Huron St, Galter Pavilion, Lc-178, Chicago, IL 60611-2908 | |
(312) 926-4247 | |
Not Available |
Full Name | Dr Eric Donald Donnelly |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 18 Years |
Location | 251 E Huron St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124284922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 125054036 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric Donald Donnelly, MD 4457 N Magnolia Ave Apt 2, Chicago, IL 60640-6298 Ph: (319) 360-2095 | Dr Eric Donald Donnelly, MD 251 E Huron St, Galter Pavilion, Lc-178, Chicago, IL 60611-2908 Ph: (312) 926-4247 |
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