Pavel Hudoba, MD | |
303 E Army Trail Rd, Suite 407, Bloomingdale, IL 60108-2169 | |
(630) 980-4922 | |
(630) 980-4923 |
Full Name | Pavel Hudoba |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 303 E Army Trail Rd, Bloomingdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720148810 | NPI | - | NPPES |
7566105 | Other | IL | AETNA PROVIDER NUMBER |
02232241 | Other | IL | BCBS PROVIDER NUMBER |
8251421 | Other | IL | CIGNA PROVIDER NUMBER |
P00188276 | Other | IL | RAILROAD MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | (Illinois) | Primary |
Entity Name | Nonsurgical Spine & Ortho Care, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639377435 PECOS PAC ID: 2163500661 Enrollment ID: O20080424000291 |
Mailing Address | Practice Location Address |
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Pavel Hudoba, MD 303 E Army Trail Rd, Suite 407, Bloomingdale, IL 60108-2169 Ph: (630) 980-4922 | Pavel Hudoba, MD 303 E Army Trail Rd, Suite 407, Bloomingdale, IL 60108-2169 Ph: (630) 980-4922 |
Catherine S Chong, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 245 S Gary Ave, Ste 105, Bloomingdale, IL 60108 Phone: 630-893-9661 Fax: 630-893-5665 | |
Morgan Proctor, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: West Suburban Nursing And Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 Phone: 630-984-7400 | |
Ryan Robin, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 220 Springfield Dr, Bloomingdale, IL 60108 Phone: 630-946-2091 Fax: 630-545-7850 | |
Suheera Khan, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 303 E Army Trail Rd Ste 135, Bloomingdale, IL 60108 Phone: 630-894-0606 |