Steven John Antonini, MD | |
21205 Owens Rd Ste 3, Mokena, IL 60448-2023 | |
(815) 469-2123 | |
(815) 469-2149 |
Full Name | Steven John Antonini |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 38 Years |
Location | 21205 Owens Rd Ste 3, Mokena, 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 |
---|---|---|---|
1114004652 | NPI | - | NPPES |
09915014 | Other | IL | BLUE CROSS BLUE SHIELD |
036076951 | Medicaid | IL | |
649420 | Other | MEDICARE PROV # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-076951 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036076951 (Illinois) | Secondary |
208000000X | Pediatrics | 036076951 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Service Systems, Inc | 2264408699 | 35 |
Hedges Clinic Service Corp | 2466474556 | 7 |
Entity Name | Health Service Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851323257 PECOS PAC ID: 2264408699 Enrollment ID: O20040908000350 |
Entity Name | Hedges Clinic Service Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326111600 PECOS PAC ID: 2466474556 Enrollment ID: O20060104000197 |
Mailing Address | Practice Location Address |
---|---|
Steven John Antonini, MD 21205 Owens Rd Ste 3, Mokena, IL 60448-2023 Ph: (815) 469-2123 | Steven John Antonini, MD 21205 Owens Rd Ste 3, Mokena, IL 60448-2023 Ph: (815) 469-2123 |
Aileen Mae Donausky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21205 Owens Rd Ste 3, Mokena, IL 60448 Phone: 815-469-2123 Fax: 815-469-2149 | |
Adrian Nica, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19401 Wolf Rd, Mokena, IL 60448 Phone: 708-478-7000 Fax: 708-478-7717 |