Manuel D Santiago, MD | |
7638 W North Ave, Elmwood Park, IL 60707-4157 | |
(708) 452-4257 | |
(708) 452-4283 |
Full Name | Manuel D Santiago |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 7638 W North Ave, Elmwood Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154309821 | NPI | - | NPPES |
0360825061 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036082506 (Illinois) | Primary |
Entity Name | Oak Park Eye Center S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386736650 PECOS PAC ID: 1658284062 Enrollment ID: O20071018000468 |
Mailing Address | Practice Location Address |
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Manuel D Santiago, MD 7638 W North Ave, Elmwood Park, IL 60707-4157 Ph: (708) 452-4257 | Manuel D Santiago, MD 7638 W North Ave, Elmwood Park, IL 60707-4157 Ph: (708) 452-4257 |
Dr. Irene M Bakos, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7740 W North Ave, Elmwood Park, IL 60707 Phone: 708-450-0500 Fax: 708-450-1070 | |
Peter Panton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7740 W North Ave, Elmwood Park, IL 60707 Phone: 708-452-7200 | |
Robert Panton, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7740 W North Ave, Elmwood Park, IL 60707 Phone: 708-452-7200 | |
A. Gwendolyn Noble, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7638 W North Ave, Elmwood Park, IL 60707 Phone: 708-452-4257 Fax: 708-452-4283 | |
Dr. Michael Hennessey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7638 W North Ave, Elmwood Park, IL 60707 Phone: 708-452-4257 Fax: 708-452-4283 |