Dr John T Keane, MD | |
16105 S La Grange Rd, Orland Park, IL 60467-5503 | |
(708) 636-3767 | |
(708) 636-4361 |
Full Name | Dr John T Keane |
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Gender | Male |
Speciality | Dermatology |
Location | 16105 S La Grange Rd, Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093758435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 036-049226 (Illinois) | Secondary |
207N00000X | Dermatology | 036-049226 (Illinois) | Primary |
Entity Name | Bielinski Dermatology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366497554 PECOS PAC ID: 6406868769 Enrollment ID: O20060705000103 |
Mailing Address | Practice Location Address |
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Dr John T Keane, MD 16105 S La Grange Rd, Orland Park, IL 60467-5503 Ph: (708) 636-3767 | Dr John T Keane, MD 16105 S La Grange Rd, Orland Park, IL 60467-5503 Ph: (708) 636-3767 |
Vanessa Jo Waldvogel, Dermatology Medicare: Medicare Enrolled Practice Location: 9131 W 151st St, Orland Park, IL 60462 Phone: 708-323-3376 | |
Dr. Ally-khan B Somani, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3767 Fax: 708-873-5849 | |
Christine Kay Sickles, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3767 Fax: 708-636-4361 | |
Dr. Kenneth B Bielinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3767 Fax: 708-636-4361 | |
Artem Sergeyenko, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3757 Fax: 708-636-4361 | |
Dr. Cheuk W Yung, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Suite 120 South, Orland Park, IL 60462 Phone: 708-460-7890 Fax: 708-460-7842 |