Dr Judith Opena Disterhoft, MD | |
3 Erie Ct, Oak Park, IL 60302-2519 | |
(708) 383-6200 | |
Not Available |
Full Name | Dr Judith Opena Disterhoft |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 3 Erie Ct, Oak Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093154809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.159212 (Illinois) | Primary |
207Q00000X | Family Medicine | A143366 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
West Suburban Medical Center | Oak park, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pcc Community Wellness Center | 1557270139 | 89 |
Resilience Healthcare - Lakefront Medical Associates Llc | 5991046468 | 49 |
Entity Name | Resilience Healthcare - Lakefront Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205301926 PECOS PAC ID: 5991046468 Enrollment ID: O20190410000827 |
Mailing Address | Practice Location Address |
---|---|
Dr Judith Opena Disterhoft, MD 3 Erie Ct, Oak Park, IL 60302-2519 Ph: (708) 383-6200 | Dr Judith Opena Disterhoft, MD 3 Erie Ct, Oak Park, IL 60302-2519 Ph: (708) 383-6200 |
Allison Byrne, Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301 Phone: 708-524-8600 | |
Dr. Patrick Carbon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 S Maple Ave, Suite 2100, Oak Park, IL 60304 Phone: 708-660-2240 Fax: 708-660-2243 | |
Dr. Ingrid Y Liu, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 S Oak Park Ave Ste B, Oak Park, IL 60304 Phone: 708-386-3080 Fax: 708-386-3084 | |
Dr. Kathryn Vanbuskirk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301 Phone: 708-524-8600 | |
Connie D Chappel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 N Harlem Ave, Suite 309, Oak Park, IL 60302 Phone: 708-386-4411 | |
Kenneth Morris Blair, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Erie Ct, Suite 6160, Oak Park, IL 60302 Phone: 708-763-1490 Fax: 708-763-7232 |