Robert Naclerio, MD | |
180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | |
(773) 834-4064 | |
Not Available |
Full Name | Robert Naclerio |
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Gender | Male |
Speciality | Otolaryngology |
Location | 180 Harvester Dr Ste 110, Burr Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356406185 | NPI | - | NPPES |
036088518 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | D25122 (Maryland) | Primary |
207Y00000X | Otolaryngology | 036088518 (Illinois) | Secondary |
Entity Name | The University Of Chicago Medical Center |
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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 |
---|---|
Robert Naclerio, MD 9910 Franklin Square Dr, Ste 2110, Baltimore, MD 21236-4902 Ph: (773) 702-0080 | Robert Naclerio, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 834-4064 |
Jacquelynne P Corey, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Ernest E Mhoon, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 |