Kent T Perry Jr, MD | |
2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 | |
(708) 216-9000 | |
(708) 216-8472 |
Full Name | Kent T Perry Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 29 Years |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740257591 | NPI | - | NPPES |
36097503 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 36097503 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Palos Community Hospital | Palos heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Kent T Perry Jr, MD 2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Ph: (708) 216-9000 | Kent T Perry Jr, MD 2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Ph: (708) 216-9000 |
Timothy Moonhwan Han, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8467 | |
Dr. Liam Hatch, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6901 Fax: 708-216-6585 | |
Christopher Gonzalez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Grace Bayudan Delos Santos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Derek John Matoka, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153 Phone: 708-216-6266 Fax: 708-216-6585 | |
Gopal N. Gupta, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153 Phone: 708-216-5098 Fax: 708-126-1699 | |
Dr. Ahmer V Farooq, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Department Of Urology, Fahey Center Rm 260, Maywood, IL 60153 Phone: 708-216-5100 Fax: 708-216-8991 |