Dr Tanya M Powell, MD | |
1700 Luther Ln, Park Ridge, IL 60068-1270 | |
(630) 205-6612 | |
(847) 698-0601 |
Full Name | Dr Tanya M Powell |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 25 Years |
Location | 1700 Luther Ln, Park Ridge, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043201072 | NPI | - | NPPES |
778401 | Other | IL | MEDICARE PROVIDER NUMBER |
036111022 | Medicaid | IL | |
P00138138 | Other | IL | RAILROAD MEDICARE |
558620 | Other | IL | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 036111022 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiation Oncology Consultants, Ltd | 0345138509 | 18 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Radiation Oncology Consultants, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164412417 PECOS PAC ID: 0345138509 Enrollment ID: O20040309000496 |
Mailing Address | Practice Location Address |
---|---|
Dr Tanya M Powell, MD 700 Commerce Dr, Suite 500, Oak Brook, IL 60523-1546 Ph: (847) 698-0600 | Dr Tanya M Powell, MD 1700 Luther Ln, Park Ridge, IL 60068-1270 Ph: (630) 205-6612 |
Michael S. Siegfried, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
John V. Phillips, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Thomas Grobelny, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 | |
Samuel Thomas Rajkowski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 | |
Anil Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St Dept Of, Park Ridge, IL 60068 Phone: 847-723-8236 Fax: 847-723-8522 | |
Dr. Mara B Stephenson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 |