Susanne Tidow-kebritchi, MD | |
2160 S 1st Ave, (9608 Roberts Rd, Hickory Hills, Il. 60457), Maywood, IL 60153 | |
(708) 233-5333 | |
(708) 233-5348 |
Full Name | Susanne Tidow-kebritchi |
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Gender | Female |
Speciality | Ophthalmology |
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 |
---|---|---|---|
1023082153 | NPI | - | NPPES |
36108445 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 36108445 (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 |
---|---|
Susanne Tidow-kebritchi, MD 2160 S 1st Ave, (9608 Roberts Rd, Hickory Hills, Il. 60457), Maywood, IL 60153 Ph: (708) 233-5333 | Susanne Tidow-kebritchi, MD 2160 S 1st Ave, (9608 Roberts Rd, Hickory Hills, Il. 60457), Maywood, IL 60153 Ph: (708) 233-5333 |
Shuchi Bharat Patel, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-7960 Fax: 708-216-3557 | |
Christina Angeline Mamalis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
James Ford Mcdonnell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, (luh - No. Ent., Rm 2601), Maywood, IL 60153 Phone: 708-216-3408 Fax: 708-216-3557 | |
Nolan Jesse Adams, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Clayton Kirk, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6262 Fax: 708-216-3557 | |
Mackenzie Marie Sward, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Loyola University Medical Center Dept Of Ophthalmology, Maywood, IL 60153 Phone: 320-219-0531 |