Dr Ruth Ditzian-kadanoff, MD PHD | |
5000 S 5th Ave, Hines, IL 60141-3030 | |
(708) 202-2707 | |
(708) 202-3633 |
Full Name | Dr Ruth Ditzian-kadanoff |
---|---|
Gender | Female |
Speciality | Internal Medicine - Rheumatology |
Location | 5000 S 5th Ave, Hines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891772760 | NPI | - | NPPES |
36069150 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 36069150 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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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 |
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Dr Ruth Ditzian-kadanoff, MD PHD 1634 W Polk St, Chicago, IL 60612-4352 Ph: (312) 423-4200 | Dr Ruth Ditzian-kadanoff, MD PHD 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (708) 202-2707 |
Dr. Bryan G Gee, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 5th Avenue And Roosevelt Road, Hines, IL 60141 Phone: 708-202-3800 Fax: 708-202-7358 | |
Mary Jane Cipriani, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
Karla G Hudson, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Samah Salih Abdalla Ahmed, Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 Fax: 708-202-2397 | |
Salvador Gutierrez, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Mr11c4, Hines, IL 60141 Phone: 708-202-8387 | |
Dr. Sandra Irene Reynertson, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 5th Avenue And Roosevelt Rd, Medicine Neurology Service Line (111), Hines, IL 60141 Phone: 708-202-4163 Fax: 708-202-1095 | |
Dr. Annming Andy Hsieh, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: Roosevet At 5th Ave, Hines, IL 60141 Phone: 708-202-8387 Fax: 708-202-2576 |