Russell Jeffrey Bodner, MD | |
2111 Midlands Ct, Sycamore, IL 60178-3125 | |
(815) 758-0000 | |
(815) 756-7130 |
Full Name | Russell Jeffrey Bodner |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 41 Years |
Location | 2111 Midlands Ct, Sycamore, 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 |
---|---|---|---|
1063527208 | NPI | - | NPPES |
01915167 | Other | IL | BLUE CROSS/BLUE SHIELD |
0359580001 | Other | IL | DMERC |
200040517 | Other | IL | RAILROAD MEDICARE |
036104076 | Medicaid | IL | |
066360 | Other | IL | HEALTH ALLIANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036-104076 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kishwaukee Community Hospital | Dekalb, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Midwest Orthopaedic Institute Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013976927 PECOS PAC ID: 8729077607 Enrollment ID: O20040506001457 |
Mailing Address | Practice Location Address |
---|---|
Russell Jeffrey Bodner, MD 2111 Midlands Ct, Sycamore, IL 60178-3125 Ph: (815) 758-0000 | Russell Jeffrey Bodner, MD 2111 Midlands Ct, Sycamore, IL 60178-3125 Ph: (815) 758-0000 |
Photine Liakos, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-758-0094 | |
Tony Jeen Choi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 | |
Dr. Ryan Michael Kenny, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 | |
Steven Gregorio Glasgow, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 | |
Dr. Rajeev Kumar Jain, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 | |
Michele Therese Glasgow, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 |