Dr Irving Fuld, MD | |
2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 | |
(708) 229-5104 | |
(630) 323-1699 |
Full Name | Dr Irving Fuld |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2800 W 95th Street, Evergreen, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508885567 | NPI | - | NPPES |
0221524519 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
Entity Name | Radiology Imaging Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861408213 PECOS PAC ID: 2860493475 Enrollment ID: O20070713000120 |
Mailing Address | Practice Location Address |
---|---|
Dr Irving Fuld, MD 6910 So Madison, Willowbrook, IL 60527 Ph: (630) 321-2715 | Dr Irving Fuld, MD 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Ph: (708) 229-5104 |
Dr. Gene Quirini, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Danilo Martinez, MD Radiology Medicare: Medicare Enrolled Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Dr. Bennett Lum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Dr. Steven Domiano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Dr. Dharma Alagaratam, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 |