Heron Rodriguez, MD | |
675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611-5975 | |
(312) 695-2714 | |
Not Available |
Full Name | Heron Rodriguez |
---|---|
Gender | Male |
Speciality | Peripheral Vascular Disease |
Experience | 30 Years |
Location | 675 N Saint Clair 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 |
---|---|---|---|
1003883778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 36096947 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
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 |
Mailing Address | Practice Location Address |
---|---|
Heron Rodriguez, MD 251 E Huron St, Northwestern Memorial Hospialt Galter 10-105, Chicago, IL 60611-2908 Ph: (312) 695-4857 | Heron Rodriguez, MD 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611-5975 Ph: (312) 695-2714 |
Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500 | |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 |