Robert Wagner, MD | |
2160 S 1st Ave, (mcgaw Ent., Rm 47), Maywood, IL 60153 | |
(708) 216-5221 | |
(708) 216-0899 |
Full Name | Robert Wagner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 2160 S 1st Ave, Maywood, 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 |
---|---|---|---|
1154308039 | NPI | - | NPPES |
36071977 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 36071977 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola University Medical Center | Maywood, IL | Hospital |
Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
Macneal Hospital | Berwyn, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Robert Wagner, MD 2160 S 1st Ave, (mcgaw Ent., Rm 47), Maywood, IL 60153 Ph: (708) 216-5221 | Robert Wagner, MD 2160 S 1st Ave, (mcgaw Ent., Rm 47), Maywood, IL 60153 Ph: (708) 216-5221 |
Anita Oza Nagamine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Paolo Gian Piero Nucifora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Harold Posniak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (mcgaw Ent., Rm. 47), Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Christine Dudiak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Dr. Scott Alan Mirowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 So First Avenue, Radiology, Maywood, IL 60153 Phone: 708-216-9000 | |
Kyle Mcwilliams, DO Radiology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 260-460-0514 | |
Yi E Lin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 |