Edward A Michals, | |
1740 W Taylor St, Chicago, IL 60612-7232 | |
(866) 600-2273 | |
Not Available |
Full Name | Edward A Michals |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 1740 W Taylor St, Chicago, 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 |
---|---|---|---|
1255343992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036-082313 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Chicago | 7719899426 | 1157 |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Edward A Michals, 809 S Marshfield Ave, 9th Floor (m/c 732), Chicago, IL 60612-4305 Ph: (312) 996-7699 | Edward A Michals, 1740 W Taylor St, Chicago, IL 60612-7232 Ph: (866) 600-2273 |
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