Homer G Radden, MD | |
611 W. Park St., Urbana, IL 61801-2500 | |
(217) 383-3303 | |
(217) 383-3265 |
Full Name | Homer G Radden |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 611 W. Park St., Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811096654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036113607 (Illinois) | Primary |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Entity Name | Novus Illinois Service Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454 |
Entity Name | Ias Illinois Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
Mailing Address | Practice Location Address |
---|---|
Homer G Radden, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Homer G Radden, MD 611 W. Park St., Urbana, IL 61801-2500 Ph: (217) 383-3303 |
Dr. Walter Knoll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Dr. Jennifer Ann Hickman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Timothy Andrew Ade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Delbert Craig Klump, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Sadru A Dharamsy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 Fax: 217-383-3265 | |
Venugopal Polasani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Matthew Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 |