| Dr Richard C Krueger Jr, MD, PHD | |
|
2836 W 98th Pl, Evergreen Park, IL 60805-2613 | |
| (505) 506-1090 | |
| (888) 734-8467 |
| Full Name | Dr Richard C Krueger Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 2836 W 98th Pl, Evergreen 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 |
|---|---|---|---|
| 1497784862 | NPI | - | NPPES |
| 201046030 | Medicaid | IN | |
| 75929856 | Medicaid | CA | |
| 000000745199 | Other | IN | ANTHEM PROVIDER NUMBER |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Arnett Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard C Krueger Jr, MD, PHD 712 Geneva St, Glendale, CA 91206-2122 Ph: (505) 506-1090 | Dr Richard C Krueger Jr, MD, PHD 2836 W 98th Pl, Evergreen Park, IL 60805-2613 Ph: (505) 506-1090 |
Ms. Katherine M Riff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 Phone: 708-424-7600 Fax: 708-424-7605 | |
Dr. Kunhunni Vellody, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th Street, Suite 203, Evergreen Park, IL 60805 Phone: 708-229-2764 Fax: 708-229-2766 | |
Calliope C Andricacou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, #404, Evergreen Park, IL 60805 Phone: 708-423-4000 Fax: 708-423-4097 | |
Dr. Ahmad Chatila, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St Ste 400, Evergreen Park, IL 60805 Phone: 708-424-7600 | |
Andrea Tekie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9730 S Western Ave Ste 500, Evergreen Park, IL 60805 Phone: 708-425-7337 Fax: 708-636-3485 | |
Dr. Huma Ali Khan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9730 S Western Ave Ste 500, Evergreen Park, IL 60805 Phone: 708-425-7337 | |
Dr. Alicia Lopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9760 S Kedzie Ave, Suite 11, Evergreen Park, IL 60805 Phone: 708-346-7000 Fax: 708-346-6180 |