Jorge Luis Castelar Artiga, | |
6326 Cermak Rd, Berwyn, IL 60402-2304 | |
(708) 303-9234 | |
(773) 729-2074 |
Full Name | Jorge Luis Castelar Artiga |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 6326 Cermak Rd, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538787460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036165084 (Illinois) | Primary |
Entity Name | Pmr Illinois Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770038671 PECOS PAC ID: 2062804909 Enrollment ID: O20220126001647 |
Mailing Address | Practice Location Address |
---|---|
Jorge Luis Castelar Artiga, 6326 Cermak Rd, Berwyn, IL 60402-2304 Ph: (708) 303-9234 | Jorge Luis Castelar Artiga, 6326 Cermak Rd, Berwyn, IL 60402-2304 Ph: (708) 303-9234 |
Rekik Abebe Degef, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 708-783-3401 Fax: 708-783-3341 | |
Dr. Robert C Lichtenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Suite 201, Berwyn, IL 60402 Phone: 708-783-2055 Fax: 708-783-2181 | |
Dr. Mark L Goode, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Suite 405, Berwyn, IL 60402 Phone: 708-783-2644 Fax: 708-783-0514 | |
Mr. John D Brofman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 815-463-8994 Fax: 815-463-8946 | |
Roberto J Gutierrez, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3223 Harlem Ave, Berwyn, IL 60402 Phone: 708-484-1800 Fax: 708-484-1801 | |
Sheena Reddy Kodavaluru, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Macneal Hospital, Berwyn, IL 60402 Phone: 708-783-9100 | |
Dr. Angela Dianira Alcarraz Bedrillana, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-6566 Fax: 708-783-6566 |