Susan Barclay, MD | |
100 W 162nd St, South Holland, IL 60473-2003 | |
(708) 730-2200 | |
(708) 210-0621 |
Full Name | Susan Barclay |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 100 W 162nd St, South Holland, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144206145 | NPI | - | NPPES |
01621679 | Other | IL | BCBS OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036090785 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Susan Barclay, MD 100 W 162nd St, South Holland, IL 60473-2003 Ph: (708) 730-2200 | Susan Barclay, MD 100 W 162nd St, South Holland, IL 60473-2003 Ph: (708) 730-2200 |
Dr. Baroukh Radfar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 16264 Prince Dr, South Holland, IL 60473 Phone: 708-331-2040 Fax: 708-331-9755 | |
Keith Williams, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Mohayya Khilfeh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Dr. Wendell A Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202 |