Reece Evan Clark, | |
500 E 22nd St Ste A, Lombard, IL 60148-6102 | |
(630) 932-2055 | |
(630) 932-2059 |
Full Name | Reece Evan Clark |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 500 E 22nd St Ste A, Lombard, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528622123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036165661 (Illinois) | Primary |
Entity Name | Andrew A Roth Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568464394 PECOS PAC ID: 1456543305 Enrollment ID: O20101011000176 |
Mailing Address | Practice Location Address |
---|---|
Reece Evan Clark, 500 E 22nd St Ste A, Lombard, IL 60148-6102 Ph: (630) 932-2055 | Reece Evan Clark, 500 E 22nd St Ste A, Lombard, IL 60148-6102 Ph: (630) 932-2055 |
Dr. Katherine Nolan-watson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-620-8061 | |
Casey M. Morris, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 E 22nd St, West Suburban Ob Gyn Ltd, Lombard, IL 60148 Phone: 630-620-8061 | |
Dr. Colleen Elizabeth Skay, MD, MA, BS, BA Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-620-8061 | |
Dr. Andrew A Roth, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 E 22nd St Ste A, Lombard, IL 60148 Phone: 630-932-2055 Fax: 630-932-2059 |