Dr Steven Domiano, MD | |
2800 W 95th St, Evergreen, IL 60805 | |
(708) 229-5104 | |
(630) 323-1699 |
Full Name | Dr Steven Domiano |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 37 Years |
Location | 2800 W 95th St, Evergreen, 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 |
---|---|---|---|
1578582532 | NPI | - | NPPES |
036084150 | Medicaid | IL | |
300027345 | Other | RRMDH | |
0221524519 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036084150 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Illinois Radiological Associates Ltd | 9436061827 | 156 |
Entity Name | Central Illinois Radiological Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
Entity Name | Radiology Imaging Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861408213 PECOS PAC ID: 2860493475 Enrollment ID: O20070713000120 |
Mailing Address | Practice Location Address |
---|---|
Dr Steven Domiano, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272 | Dr Steven Domiano, MD 2800 W 95th St, Evergreen, IL 60805 Ph: (708) 229-5104 |
Dr. Gene Quirini, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Danilo Martinez, MD Radiology Medicare: Medicare Enrolled Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Dr. Bennett Lum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Dr. Irving Fuld, MD Radiology Medicare: Medicare Enrolled Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 | |
Dr. Dharma Alagaratam, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th Street, Little Company Of Mary Hospital, Evergreen, IL 60805 Phone: 708-229-5104 Fax: 630-323-1699 |