Dr Mara B Stephenson, DO | |
1420 Renaissance Dr Ste 307, Park Ridge, IL 60068-1343 | |
(847) 803-1000 | |
(847) 803-1098 |
Full Name | Dr Mara B Stephenson |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 1420 Renaissance Dr Ste 307, Park Ridge, 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 |
---|---|---|---|
1093080103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 125061963 (Illinois) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 125061963 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
St Alexius Medical Center | Hoffman estates, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elk Grove Imaging Associates Sc | 2961883459 | 11 |
Entity Name | Advanced Radiology Consultants Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750380119 PECOS PAC ID: 7113822784 Enrollment ID: O20040109000165 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
Entity Name | Elk Grove Imaging Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497494033 PECOS PAC ID: 2961883459 Enrollment ID: O20220714002386 |
Mailing Address | Practice Location Address |
---|---|
Dr Mara B Stephenson, DO 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068-1343 Ph: (847) 803-1000 | Dr Mara B Stephenson, DO 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068-1343 Ph: (847) 803-1000 |
Michael S. Siegfried, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Dr. Tanya M Powell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln, Park Ridge, IL 60068 Phone: 630-205-6612 Fax: 847-698-0601 | |
John V. Phillips, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Thomas Grobelny, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 | |
Samuel Thomas Rajkowski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 | |
Anil Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St Dept Of, Park Ridge, IL 60068 Phone: 847-723-8236 Fax: 847-723-8522 |