Dr Keith D Tatka, DO | |
2800 W 95th St, Evergreen Park, IL 60805-2701 | |
(708) 229-5600 | |
Not Available |
Full Name | Dr Keith D Tatka |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2800 W 95th St, Evergreen 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 |
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1518112267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 036124197 (Illinois) | Primary |
Entity Name | Chicago Central Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093162836 PECOS PAC ID: 3072415520 Enrollment ID: O20040123000979 |
Entity Name | Insight Chicago Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881261006 PECOS PAC ID: 2860894706 Enrollment ID: O20210714002059 |
Mailing Address | Practice Location Address |
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Dr Keith D Tatka, DO 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (708) 229-5600 | Dr Keith D Tatka, DO 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (708) 229-5600 |
Julian Moncada, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Penny Hutchinson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Francisco Rosales, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Ronald Holt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Michael O'mara, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Dr. Syed Khursheed Zaman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 W 95th St, Evergreen Park, IL 60805 Phone: 708-576-8112 Fax: 708-221-6631 | |
James Danziger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |