Tadanori Tomita, MD | |
2300 N Childrens Plz, Chicago, IL 60614-3363 | |
(773) 880-4000 | |
(773) 281-1576 |
Full Name | Tadanori Tomita |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 2300 N Childrens Plz, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962498394 | NPI | - | NPPES |
0563684 | Medicaid | IA | |
8023632 | Medicaid | WA | |
036061591 | Medicaid | IL | |
1627123 | Other | IL | BCBS PROVIDER ID |
7618592 | Other | IL | GHI PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 036061591 (Illinois) | Primary |
Entity Name | Childrens Surgical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356394217 PECOS PAC ID: 6406747179 Enrollment ID: O20040323000088 |
Mailing Address | Practice Location Address |
---|---|
Tadanori Tomita, MD 35422 Eagle Way, Chicago, IL 60678-0001 Ph: (773) 880-4000 | Tadanori Tomita, MD 2300 N Childrens Plz, Chicago, IL 60614-3363 Ph: (773) 880-4000 |
Peleg Horowitz, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Stephen Ondra, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Adam Mendel Sonabend Worthalter, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St Ste 21-100, Chicago, IL 60611 Phone: 312-695-0990 | |
Kazuki Sakakura, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 600 S Paulina St, Chicago, IL 60612 Phone: 628-628-6309 | |
Gail L Rosseau, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4501 N Winchester Ave, 2nd Fl, Chicago, IL 60640 Phone: 773-250-0500 Fax: 773-250-0497 | |
Dr. Ravi Nunna, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1650 W Harrison St Ste 466, Chicago, IL 60612 Phone: 312-942-5495 | |
Tord Alden, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2300 N Childrens Plz, Chicago, IL 60614 Phone: 773-880-4000 Fax: 773-281-1576 |