Susanna J Aviles, APRN | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(888) 584-7888 | |
Not Available |
Full Name | Susanna J Aviles |
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Gender | Female |
Speciality | Family Medicine - Sleep Medicine |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568220234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS1201X | Family Medicine - Sleep Medicine | 209.029073 (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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Susanna J Aviles, APRN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Susanna J Aviles, APRN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
Eva Bading, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (1211 Roosevelt Rd. ), Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-5201 | |
Michael Gregory Mank, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5446 | |
Chelsea Leigh Fournier, Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 586-588-0217 | |
Kenneth Kin Kan Chan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 Phone: 708-216-6006 Fax: 708-216-2683 | |
Peter Lyson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-783-3913 | |
Dr. Jessica Carrie Dingman Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Sudheer Earanky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533 |