Mckenzie Mosenthal, | |
2160 S 1st Ave, Maywood, IL 60153 | |
(708) 216-1000 | |
Not Available |
Full Name | Mckenzie Mosenthal |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972007631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 125.072167 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036156658 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Mckenzie Mosenthal, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Mckenzie Mosenthal, 2160 S 1st Ave, Maywood, IL 60153 Ph: (708) 216-1000 |
Anita Oza Nagamine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Paolo Gian Piero Nucifora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Harold Posniak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (mcgaw Ent., Rm. 47), Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Christine Dudiak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Dr. Scott Alan Mirowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 So First Avenue, Radiology, Maywood, IL 60153 Phone: 708-216-9000 | |
Kyle Mcwilliams, DO Radiology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 260-460-0514 | |
Yi E Lin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 |