Dr Timothy Koplik Henderson, MD | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 684-5375 | |
Not Available |
Full Name | Dr Timothy Koplik Henderson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 6 Years |
Location | 4440 W 95th St, Oak Lawn, 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 |
---|---|---|---|
1033600168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125072398 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
Centura Health-st Anthony Hospital | Lakewood, CO | Hospital |
Centura Health-avista Adventist Hospital | Louisville, CO | Hospital |
Northern Nevada Medical Center | Sparks, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nevada Emergency Physicians Pllc | 6406260579 | 36 |
Usacs Community Emergency Services Of Colorado Inc. | 2466711536 | 156 |
Entity Name | Nevada Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730957275 PECOS PAC ID: 6406260579 Enrollment ID: O20210201001975 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Koplik Henderson, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 | Dr Timothy Koplik Henderson, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 |
Michael Cirone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 Fax: 708-684-1028 | |
Peter Peraud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4077 | |
Elizabeth Kunjummen, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Ms. Meghan Maureen Hurley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Nicolas Kettaneh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 | |
Emily Katherine Jonas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 |