Richard Larson, | |
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
(888) 824-0200 | |
Not Available |
Full Name | Richard Larson |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 47 Years |
Location | 5841 S Maryland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114089661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 036057429 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The University Of Chicago Medical Center | 7618880766 | 779 |
University Of Chicago | 7719899426 | 1157 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
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Richard Larson, 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 Ph: () - | Richard Larson, 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (888) 824-0200 |
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Alexandra Dumitrescu, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
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