Dr Prince Lolonyo Hodogbey, MD | |
2900 N Lake Shore Dr, Chicago, IL 60657-5640 | |
(312) 337-1982 | |
(312) 642-3847 |
Full Name | Dr Prince Lolonyo Hodogbey |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 2900 N Lake Shore Dr, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891004404 | NPI | - | NPPES |
214667012 | Other | IL | MEDICARE |
36129113 | Medicaid | IL | |
12445676 | Other | IL | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036129113 (Illinois) | Secondary |
207Q00000X | Family Medicine | 125056495 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialty Physicians Of Illinois Llc | 4183529456 | 110 |
Entity Name | Specialty Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Entity Name | Vivek Gupta, M.d., S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033300694 PECOS PAC ID: 3678668308 Enrollment ID: O20070926000910 |
Mailing Address | Practice Location Address |
---|---|
Dr Prince Lolonyo Hodogbey, MD Po Box 3603, Oak Brook, IL 60522-3603 Ph: (773) 772-7858 | Dr Prince Lolonyo Hodogbey, MD 2900 N Lake Shore Dr, Chicago, IL 60657-5640 Ph: (312) 337-1982 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028 | |
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |