Miguel R Antonatos, MD | |
4803 N Milwaukee Ave, Suite B Unit #220, Chicago, IL 60630 | |
(973) 847-2280 | |
Not Available |
Full Name | Miguel R Antonatos |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4803 N Milwaukee Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912285081 | NPI | - | NPPES |
12428 | Other | SD | SD LICENSE |
C0084 | Other | KY | KY LICENSE |
ME147653 | Other | FL | FL LICENSE |
30482 | Other | WV | WV LICENSE |
412-320 | Other | WI | WI LICENSE |
41925 | Other | AL | AL LICENSE |
61076 | Other | AZ | AZ LICENSE |
C177591 | Other | CA | CA LICENSE |
D0090753 | Other | MD | MD LICENSE |
EMC0000064 | Other | MI | MI LICENSE |
28569 | Other | MS | MS LICENSE |
33242 | Other | NE | NE LICENSE |
036138839 | Other | IL | ILLIONOIS LICENSE |
04-44257 | Other | KS | KS LICENSE |
20724 | Other | NV | NV LICENSE |
42.0015135 | Other | VT | VT LICENSE |
68586 | Other | MN | MN LICENSE |
85397 | Other | GA | GA LICENSE |
25MA10452000 | Other | NJ | NJ LICENSE |
MD-47241 | Other | IA | IA LICENSE |
MD61023368 | Other | WA | WA LICENSE |
12087673-1205 | Other | UT | UT LICENSE |
33998 | Other | SC | SC LICENSE |
37913 | Other | OK | OK LICENSE |
60557 | Other | TN | TN LICENSE |
101275982 | Other | VA | VA LICENSE |
17108 | Other | ND | ND LICENSE |
21180 | Other | NH | NH LICENSE |
311447 | Other | NY | NY LICENSE |
CDR.0000338 | Other | CO | CO LICENSE |
MC-0780 | Other | ID | ID LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036138839 (Illinois) | Secondary |
208M00000X | Hospitalist | 036138839 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036138839 (Illinois) | Primary |
Entity Name | Vohra Wound Physicians Of Il Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790080505 PECOS PAC ID: 9830377688 Enrollment ID: O20110624000499 |
Mailing Address | Practice Location Address |
---|---|
Miguel R Antonatos, MD 4803 N Milwaukee Ave, Suite B Unit #220, Chicago, IL 60630 Ph: (973) 847-2280 | Miguel R Antonatos, MD 4803 N Milwaukee Ave, Suite B Unit #220, Chicago, IL 60630 Ph: (973) 847-2280 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |