James Judge, MD | |
2160 S First Ave, ( 1211 Roosevelt Rd., Maywood, Il. 60153), Maywood, IL 60153 | |
(708) 531-5200 | |
(708) 531-5201 |
Full Name | James Judge |
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Gender | Male |
Speciality | Family Medicine |
Location | 2160 S First Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811977408 | NPI | - | NPPES |
36058912 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36058912 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
James Judge, MD 2160 S First Ave, ( 1211 Roosevelt Rd., Maywood, Il. 60153), Maywood, IL 60153 Ph: (708) 531-5200 | James Judge, MD 2160 S First Ave, ( 1211 Roosevelt Rd., Maywood, Il. 60153), Maywood, IL 60153 Ph: (708) 531-5200 |
Eva Bading, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (1211 Roosevelt Rd. ), Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-5201 | |
Michael Gregory Mank, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5446 | |
Chelsea Leigh Fournier, Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 586-588-0217 | |
Kenneth Kin Kan Chan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 Phone: 708-216-6006 Fax: 708-216-2683 | |
Peter Lyson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-783-3913 | |
Dr. Jessica Carrie Dingman Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Sudheer Earanky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533 |