Mark Kelly, | |
25 N Winfield Road, Winfield, IL 60190 | |
(630) 933-4240 | |
Not Available |
Full Name | Mark Kelly |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 25 N Winfield Road, Winfield, 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 |
---|---|---|---|
1770641136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036091461 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Subspecialists Of Northern Illinois Llc | 2264717925 | 30 |
Entity Name | Radiology Subspecialists Of Northern Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104378942 PECOS PAC ID: 2264717925 Enrollment ID: O20170320000767 |
Mailing Address | Practice Location Address |
---|---|
Mark Kelly, 89 Old Creek Rd, Palos Park, IL 60464-1414 Ph: () - | Mark Kelly, 25 N Winfield Road, Winfield, IL 60190 Ph: (630) 933-4240 |
John Clifford Treanor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 North Winfield Road, Winfield, IL 60190 Phone: 630-933-4240 | |
Dr. Owen Kamil Sweis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60189 Phone: 630-933-4487 | |
Dr. Ramananda M Shetty, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 0n126 Winfield Rd, Winfield, IL 60190 Phone: 630-690-3400 Fax: 630-690-3418 | |
Michael Albert Nixon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 0n025 Winfield Rd, Winfield, IL 60190 Phone: 630-933-4240 Fax: 630-933-2675 | |
Hak K Sue, Radiology Medicare: Not Enrolled in Medicare Practice Location: 25 N Winfield Road, Winfield, IL 60190 Phone: 630-933-4240 | |
Michael Hsiang-che Tseng, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-4240 Fax: 630-933-2675 | |
Stanley Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-2489 Fax: 630-933-2827 |