Mr Anthony Calvin Phan, MD | |
15300 West Ave Ste 210, Orland Park, IL 60462-4686 | |
(630) 909-7000 | |
(630) 909-7002 |
Full Name | Mr Anthony Calvin Phan |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 15300 West Ave Ste 210, Orland 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 |
---|---|---|---|
1851852123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 125076215 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 036165088 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Mr Anthony Calvin Phan, MD 15300 West Ave Ste 210, Orland Park, IL 60462-4686 Ph: (630) 909-7000 | Mr Anthony Calvin Phan, MD 15300 West Ave Ste 210, Orland Park, IL 60462-4686 Ph: (630) 909-7000 |
Dr. John M Kalec, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10900 Royal Glen Dr, Orland Park, IL 60467 Phone: 708-403-2064 | |
Dr. Sung-lana Kim, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10719 West 160th Street, Orland Park, IL 60467 Phone: 708-226-3300 Fax: 708-226-4202 | |
Dr. Ernesto Ibalio Lardizabal, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11528 183rd Pl, Orland Park, IL 60467 Phone: 708-326-1700 Fax: 708-326-1707 |