Marina A Kuznetsova, MD | |
100 Provena Way Ste 103, Bourbonnais, IL 60914-4797 | |
(773) 564-5070 | |
(773) 564-5071 |
Full Name | Marina A Kuznetsova |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 46 Years |
Location | 100 Provena Way Ste 103, Bourbonnais, 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 |
---|---|---|---|
1265545271 | NPI | - | NPPES |
01632270 | Other | IL | BLUE CROSS BLUE SHIELD IL |
036090575 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 036090595 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Louis A Weiss Memorial Hospital | Chicago, IL | Hospital |
Entity Name | Ctca Physicians Group Of Illinois, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699763185 PECOS PAC ID: 7113998436 Enrollment ID: O20040802000924 |
Entity Name | Marina Kuznetsova Md Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134232135 PECOS PAC ID: 7719061662 Enrollment ID: O20080301000039 |
Mailing Address | Practice Location Address |
---|---|
Marina A Kuznetsova, MD Po Box 85327, Chicago, IL 60689-5327 Ph: (814) 237-8627 | Marina A Kuznetsova, MD 100 Provena Way Ste 103, Bourbonnais, IL 60914-4797 Ph: (773) 564-5070 |
Alex Herskovic, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Riverside Dr, Bourbonnais, IL 60914 Phone: 815-933-9660 Fax: 815-929-0014 | |
Dr. Alan Blaine Coon, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Riverside Dr, Bourbonnais, IL 60914 Phone: 815-929-0010 Fax: 815-929-0014 |