Dr Joseph L Mastro, MD | |
900 N 2nd St, Rochelle, IL 61068-1764 | |
(815) 562-2181 | |
Not Available |
Full Name | Dr Joseph L Mastro |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 900 N 2nd St, Rochelle, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346212461 | NPI | - | NPPES |
036093835 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036093835 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822147 PECOS PAC ID: 3072422716 Enrollment ID: O20031126000262 |
Entity Name | Illinois Emergency Medicine Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
Entity Name | Kyte River Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063751188 PECOS PAC ID: 9234378563 Enrollment ID: O20130618000528 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph L Mastro, MD 654 Hillside Ave, Elmhurst, IL 60126-4247 Ph: (630) 279-5517 | Dr Joseph L Mastro, MD 900 N 2nd St, Rochelle, IL 61068-1764 Ph: (815) 562-2181 |
Ian M Todd, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 N 2nd St, Rochelle, IL 61068 Phone: 815-562-2181 | |
Mr. Carson William Andrew, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N 2nd St, Rochelle, IL 61068 Phone: 815-562-2181 |