Dr Philip John Digiacomo Iii, MD | |
17495 La Grange Rd, #417, Tinley Park, IL 60487-7581 | |
(708) 364-3125 | |
Not Available |
Full Name | Dr Philip John Digiacomo Iii |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 17495 La Grange Rd, Tinley 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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1558522128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2010-01137 (North Carolina) | Primary |
Entity Name | Integritas Emergency Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Entity Name | Aurora Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407379423 PECOS PAC ID: 1850657180 Enrollment ID: O20171102000998 |
Mailing Address | Practice Location Address |
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Dr Philip John Digiacomo Iii, MD 1860 Payshere Cir, Chicago, IL 60674-0001 Ph: (630) 469-9200 | Dr Philip John Digiacomo Iii, MD 17495 La Grange Rd, #417, Tinley Park, IL 60487-7581 Ph: (708) 364-3125 |
Blanca E Herrera, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969 | |
Nicole R Mott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969 | |
Walid Kandah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6701 159th St, Tinley Park, IL 60477 Phone: 708-429-3300 | |
Dr. Mazen Diab, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 630-873-8875 | |
Dr. Melinda Ann Tobin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969 | |
Melissa M Nelson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6701 159th St, Tinley Park, IL 60477 Phone: 708-429-3300 | |
Julie Patacsil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-406-3243 Fax: 708-226-7161 |