Edward J Bruno, MD | |
333 N Madison, Joliet, IL 60586 | |
(815) 741-7200 | |
Not Available |
Full Name | Edward J Bruno |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 333 N Madison, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457457830 | NPI | - | NPPES |
9915352 | Other | BLUE SHIELD | |
N288953 | Other | IL | HARMONY |
6124854000 | Other | IL | DEPARTMENT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
Entity Name | Joliet Radiological Service Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295846343 PECOS PAC ID: 2961460654 Enrollment ID: O20041228000714 |
Mailing Address | Practice Location Address |
---|---|
Edward J Bruno, MD 25654 Plantation Road, Plainfield, IL 60586 Ph: (815) 436-1664 | Edward J Bruno, MD 333 N Madison, Joliet, IL 60586 Ph: (815) 741-7200 |
Shin I Nam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple Road, Joliet, IL 60432 Phone: 815-723-9351 Fax: 815-723-9823 | |
Dr. Spiro Panagakis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple Rd, Suite 3309, Joliet, IL 60432 Phone: 815-723-9351 Fax: 815-723-9823 | |
Brian J Blonigen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2614 W Jefferson St, Joliet, IL 60435 Phone: 815-725-1355 Fax: 815-730-3020 | |
John Scott Groch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Madison, St Joseph Medical Center, Joliet, IL 60435 Phone: 815-741-7200 Fax: 815-741-7591 | |
Michelle Philip, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3400 Fax: 815-730-6382 | |
Dr. Samia Luka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1301 Copperfield Ave, Suite 116, Joliet, IL 60432 Phone: 815-722-1818 Fax: 815-722-2533 | |
Dr. Nasir A Siddiqui, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3400 Fax: 815-730-6382 |