Mariusz Rogalski, MD | |
16001 Executive Dr, Crest Hill, IL 60403-0500 | |
(630) 418-5050 | |
Not Available |
Full Name | Mariusz Rogalski |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 16001 Executive Dr, Crest Hill, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578762464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36108775 (Illinois) | Primary |
207P00000X | Emergency Medicine | 036108775 (Illinois) | Secondary |
Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797 |
Entity Name | Phs Indian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
Entity Name | Rosebud Indian Health Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Entity Name | San Carlos Apache Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
Mailing Address | Practice Location Address |
---|---|
Mariusz Rogalski, MD 16001 Executive Dr, Crest Hill, IL 60403-0500 Ph: (630) 418-5050 | Mariusz Rogalski, MD 16001 Executive Dr, Crest Hill, IL 60403-0500 Ph: (630) 418-5050 |
Ms. June Eunjeong Lee, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2222 Weber Rd, Crest Hill, IL 60403 Phone: 815-741-9714 Fax: 815-744-5137 | |
Michelle L Horvath, PAC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16151 Weber Rd Suite 201, Crest Hill, IL 60403 Phone: 815-838-2888 | |
Rafael A Perez-guerra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 | |
Dr. George Antoine Aghia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16151 Weber Rd, Suite 201, Crest Hill, IL 60403 Phone: 815-838-2888 | |
Dr. Azeem Mohsin Ahsan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Willow Circle Dr, Suite 100, Crest Hill, IL 60435 Phone: 815-741-2525 Fax: 815-741-2522 | |
Cynthia M Yarshen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16151 Weber Rd, Suite 201, Crest Hill, IL 60403 Phone: 815-838-2888 Fax: 815-838-0222 |