Justin Li, DO | |
3700 W 203rd St Ste 204, Olympia Fields, IL 60461-1182 | |
(708) 748-7500 | |
(708) 503-3852 |
Full Name | Justin Li |
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Gender | Male |
Speciality | Internal Medicine |
Location | 3700 W 203rd St Ste 204, Olympia Fields, 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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1689289977 | NPI | - | NPPES |
Entity Name | Specialty Physicians Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
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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Justin Li, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Justin Li, DO 3700 W 203rd St Ste 204, Olympia Fields, IL 60461-1182 Ph: (708) 748-7500 |
Mr. Praneet Satyendra Mylavarapu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7297 Fax: 708-503-3296 | |
Chintan Shah, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Albara Said, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-898-0811 Fax: 708-898-1839 | |
Anand Kumar Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2160 Fax: 708-679-2161 | |
Dr. Matthew L Kamin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260 | |
Dr. Edward Joseph Winter, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461 Phone: 708-747-6929 Fax: 708-747-6929 | |
Dr. Savio G Manatt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr Ste 204, Olympia Fields, IL 60461 Phone: 708-283-8300 Fax: 708-283-9245 |