Richard Nicolay Iii, MD | |
2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | |
(847) 998-5680 | |
(847) 998-6365 |
Full Name | Richard Nicolay Iii |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2401 Ravine Way Ste 200, Glenview, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609239409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036-159957 (Illinois) | Primary |
Entity Name | Illinois Bone And Joint Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
---|---|
Richard Nicolay Iii, MD 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Richard Nicolay Iii, MD 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 Ph: (847) 998-5680 |
Steven Haddad, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 Ravine Way, Suite 200, Glenview, IL 60025 Phone: 847-998-5680 | |
Dr. Ryan Harold, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 Ravine Way Ste 200, Glenview, IL 60025 Phone: 847-998-5680 Fax: 847-998-6365 | |
Michael R O'rourke, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 Ravine Way, Suite 200, Glenview, IL 60025 Phone: 847-998-5680 | |
James Fox, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 Ravine Way, Suite 200, Glenview, IL 60025 Phone: 847-998-5680 | |
Chadwick C Prodromos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1714 Milwaukee Ave, Glenview, IL 60025 Phone: 847-699-6810 Fax: 847-699-2854 | |
Gregory Portland, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 Ravine Way, Suite 200, Glenview, IL 60025 Phone: 847-998-5680 | |
William Robb Iii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 Ravine Way, Suite 200, Glenview, IL 60025 Phone: 847-998-5680 |