Sandra L Fallico, | |
800 Biesterfield Rd, Elk Grove Radiology, Elk Grove Vlg, IL 60007-3311 | |
(847) 956-5124 | |
(847) 952-7912 |
Full Name | Sandra L Fallico |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 800 Biesterfield Rd, Elk Grove Vlg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831139823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036077396 (Illinois) | Primary |
Entity Name | Elk Grove Radiology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386730810 PECOS PAC ID: 9133169766 Enrollment ID: O20050503001144 |
Entity Name | Radadvantage A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20080814000765 |
Entity Name | Shps Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881339448 PECOS PAC ID: 7315325933 Enrollment ID: O20220610001452 |
Mailing Address | Practice Location Address |
---|---|
Sandra L Fallico, 800 Biesterfield Rd, Elk Grove Radiology, Elk Grove Vlg, IL 60007-3311 Ph: (847) 956-5124 | Sandra L Fallico, 800 Biesterfield Rd, Elk Grove Radiology, Elk Grove Vlg, IL 60007-3311 Ph: (847) 956-5124 |
Dr. Martin J Boyer, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Suite 110, Elk Grove Vlg, IL 60007 Phone: 847-981-5760 Fax: 847-956-5138 |