Maxie I Mcdonough, MD | |
777 Park Ave W, Highland Park, IL 60035-2433 | |
(847) 570-2530 | |
(847) 570-0231 |
Full Name | Maxie I Mcdonough |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 777 Park Ave W, Highland 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 |
---|---|---|---|
1023479946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 036148652 (Illinois) | Primary |
208000000X | Pediatrics | 036148652 (Illinois) | Secondary |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Swedish Covenant Management Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Mailing Address | Practice Location Address |
---|---|
Maxie I Mcdonough, MD 777 Park Ave W, Highland Park, IL 60035-2433 Ph: (845) 570-2530 | Maxie I Mcdonough, MD 777 Park Ave W, Highland Park, IL 60035-2433 Ph: (847) 570-2530 |
Dr. Nicole Aida Kafati, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2530 | |
Kosha Kamani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-926-5840 Fax: 847-926-5835 | |
Dr. Lynette C Connell, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 708-684-2699 |