Kathleen Elizabeth Detwiler, PHD, MD | |
2160 S 1st Ave, Luh North Entrance, Nuclear Medicine, Maywood, IL 60153-3328 | |
(708) 202-7000 | |
(708) 216-6890 |
Full Name | Kathleen Elizabeth Detwiler |
---|---|
Gender | Female |
Speciality | Nuclear Medicine |
Experience | 12 Years |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932465259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 125061472 (Illinois) | Secondary |
207R00000X | Internal Medicine | XXXXXXXXXXXXXXXX (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Current Care Of Illinois Pc | 6002040276 | 29 |
Entity Name | Jefferson Park Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366490047 PECOS PAC ID: 6204731474 Enrollment ID: O20031201000633 |
Entity Name | American Current Care Of Illinois Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285071241 PECOS PAC ID: 6002040276 Enrollment ID: O20131002000446 |
Entity Name | Healogics Specialty Physicians Of Illinois, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215355110 PECOS PAC ID: 4486877511 Enrollment ID: O20140519001061 |
Entity Name | Ameriwound Physicians Il Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Elizabeth Detwiler, PHD, MD 248 E Quincy St, Riverside, IL 60546-2178 Ph: (630) 202-4852 | Kathleen Elizabeth Detwiler, PHD, MD 2160 S 1st Ave, Luh North Entrance, Nuclear Medicine, Maywood, IL 60153-3328 Ph: (708) 202-7000 |
Dr. Cathryn T Sawalski, DO, MBA Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Maryam Sabir, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Holly Kramer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Dr. Stephanie Bochen Tsai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Nicholas Poellinger, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Marisa Luck, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Sofia Ahmed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8757 |