Jerome B Taxy, MD | |
180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | |
(773) 834-4064 | |
Not Available |
Full Name | Jerome B Taxy |
---|---|
Gender | Male |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 180 Harvester Dr Ste 110, Burr Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649322322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Jerome B Taxy, MD 5841 S Maryland Ave # Mc1099, Chicago, IL 60637-1447 Ph: () - | Jerome B Taxy, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 834-4064 |
Richard M Demay, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Beverly W Baron, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Dr. Anna Biernacka, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-702-5957 | |
Jonathan L Miller, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
John Anastasi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Robert L Wollmann, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Stephen C Meredith, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 |