Dr Michael Richard Wilson, DO | |
900 Skokie Blvd, Northbrook, IL 60062-4012 | |
(847) 272-7426 | |
(847) 412-6440 |
Full Name | Dr Michael Richard Wilson |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 900 Skokie Blvd, Northbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932185584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | DO25780 (Oregon) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 036.110638 (Illinois) | Primary |
Entity Name | Rehabilitation Medicine Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932131364 PECOS PAC ID: 3274528021 Enrollment ID: O20040420000182 |
Mailing Address | Practice Location Address |
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Dr Michael Richard Wilson, DO 355 E Erie St, Chicago, IL 60611-3167 Ph: (312) 238-1000 | Dr Michael Richard Wilson, DO 900 Skokie Blvd, Northbrook, IL 60062-4012 Ph: (847) 272-7426 |
Dr. Ricardo Gabriel Senno, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1535 Lake Cook Rd, Suite 306, Northbrook, IL 60062 Phone: 847-644-8242 Fax: 847-272-8221 | |
Dr. Shashi Prabha Agrawal, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3015 Keystone Rd, Northbrook, IL 60062 Phone: 847-564-5127 | |
Susan Keeshin, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 900 Skokie Blvd, Northbrook, IL 60062 Phone: 847-510-5620 Fax: 847-412-6440 | |
Claire Somarriba, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4101 Lake Cook Rd, Northbrook, IL 60062 Phone: 847-562-1770 |