Stanley Kim, MD | |
25 N Winfield Rd, Winfield, IL 60190-1295 | |
(630) 933-2489 | |
(630) 933-2827 |
Full Name | Stanley Kim |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 25 N Winfield Rd, Winfield, 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 |
---|---|---|---|
1437188018 | NPI | - | NPPES |
00A717630 | Other | CA | MEDI CAL |
036109828 | Medicaid | IL | |
0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
3625139096019701 | Other | IL | CDH HFS GROUP PAYEE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A71763 (California) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 036109828 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Delnor Community Hospital | Geneva, IL | Hospital |
Saint Agnes Medical Center | Fresno, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723 |
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 |
Mailing Address | Practice Location Address |
---|---|
Stanley Kim, MD 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 933-2489 | Stanley Kim, MD 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 933-2489 |
John Clifford Treanor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 North Winfield Road, Winfield, IL 60190 Phone: 630-933-4240 | |
Dr. Owen Kamil Sweis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60189 Phone: 630-933-4487 | |
Dr. Ramananda M Shetty, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 0n126 Winfield Rd, Winfield, IL 60190 Phone: 630-690-3400 Fax: 630-690-3418 | |
Michael Albert Nixon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 0n025 Winfield Rd, Winfield, IL 60190 Phone: 630-933-4240 Fax: 630-933-2675 | |
Hak K Sue, Radiology Medicare: Not Enrolled in Medicare Practice Location: 25 N Winfield Road, Winfield, IL 60190 Phone: 630-933-4240 | |
Michael Hsiang-che Tseng, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-4240 Fax: 630-933-2675 |