John Gordon Prout, DO | |
25 N Winfield Rd, Winfield, IL 60190-1379 | |
(630) 933-1600 | |
Not Available |
Full Name | John Gordon Prout |
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Gender | Male |
Speciality | Anesthesiology |
Location | 25 N Winfield Rd, Winfield, 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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1154810513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 125.072197 (Illinois) | Primary |
207L00000X | Anesthesiology | 036156476 (Illinois) | Secondary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | West Central Anesthesiology Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396785648 PECOS PAC ID: 8426089863 Enrollment ID: O20050825000805 |
Mailing Address | Practice Location Address |
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John Gordon Prout, DO 916 Tulip Ln, Naperville, IL 60540-7336 Ph: (847) 756-0269 | John Gordon Prout, DO 25 N Winfield Rd, Winfield, IL 60190-1379 Ph: (630) 933-1600 |
Dr. Kirk James Papa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614 | |
Dr. Watson W Fung, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: On025 Winfield Rd., Winfield, IL 60190 Phone: 630-933-1600 | |
Summer Williams, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614 | |
John T Samuels, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 Winfield Rd., Winfield, IL 60190 Phone: 630-933-1600 | |
Dr. Alfredo Ceballos Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 N. Winfield Rd., Dept Of Anesthesia, Winfield, IL 60190 Phone: 630-933-6675 | |
Dr. Michael Perconti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: On025 Winfield Rd., Winfield, IL 60190 Phone: 630-933-1600 |