Dr Laura Bianconi, MD | |
4309 W Medical Center Dr Ste B310, Mchenry, IL 60050 | |
(815) 338-6600 | |
(815) 759-4692 |
Full Name | Dr Laura Bianconi |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4309 W Medical Center Dr Ste B310, Mchenry, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578521175 | NPI | - | NPPES |
036-088093 | Other | IL | STATE LICENSE |
370022706 | Other | IL | MEDICARE RAILROAD CARRIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036088093 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Laura Bianconi, MD 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050-8441 Ph: (815) 338-6600 | Dr Laura Bianconi, MD 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050 Ph: (815) 338-6600 |
Dr. Robert David Halstead, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4309 W Medical Center Dr, Suite B310, Mchenry, IL 60050 Phone: 815-344-3900 Fax: 815-759-4666 | |
Dr. Laura J Louthain-walrod, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 | |
Karen A. Klawitter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3922 Mercy Dr, Mchenry, IL 60050 Phone: 815-344-4499 Fax: 815-344-4779 | |
Kiran Munawar Ali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900 Fax: 815-895-5909 | |
Celina G Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050 Phone: 815-338-6600 Fax: 815-759-4692 | |
Rick A Chitwood, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3922 Mercy Dr, Mchenry, IL 60050 Phone: 815-344-4499 Fax: 815-344-4479 |