Dr Renato M Fontanilla, MD | |
2300 N Childrens Plz # 152, Chicago, IL 60614-3363 | |
(773) 880-6903 | |
(773) 880-3068 |
Full Name | Dr Renato M Fontanilla |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2300 N Childrens Plz # 152, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285635995 | NPI | - | NPPES |
036-095712-3 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036-095712 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Entity Name | Bonaventure Medical Foundation Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
Mailing Address | Practice Location Address |
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Dr Renato M Fontanilla, MD 1524 Overlook Dr, Glenview, IL 60025-5162 Ph: (847) 729-0638 | Dr Renato M Fontanilla, MD 2300 N Childrens Plz # 152, Chicago, IL 60614-3363 Ph: (773) 880-6903 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |