Timothy Brian Johnson, DO | |
9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | |
(708) 425-1907 | |
(708) 422-4253 |
Full Name | Timothy Brian Johnson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 9 Years |
Location | 9730 S Western Ave Ste 100, Evergreen Park, 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 |
---|---|---|---|
1982085247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101021965 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 036-148417 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gallatin Womens Center, P.c. | 5294635348 | 3 |
Entity Name | Gallatin Womens Center, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205956638 PECOS PAC ID: 5294635348 Enrollment ID: O20040113000580 |
Mailing Address | Practice Location Address |
---|---|
Timothy Brian Johnson, DO 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 Ph: (708) 425-1907 | Timothy Brian Johnson, DO 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 Ph: (708) 425-1907 |
Dr. Anita Iyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 | |
Angela Niezgoda, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9730 S Western Ave Ste 700, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 | |
Jessica L Bender, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 103, Evergreen Park, IL 60805 Phone: 708-636-9205 Fax: 708-422-5505 | |
Robert M Bonaminio, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2850 W. 95th St, Suite 103, Evergreen Park, IL 60805 Phone: 708-636-9205 Fax: 708-229-6075 | |
Dr. Steven Robert Daube, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9730 S Western Ave Ste 700, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 | |
Emuata Ufok Bassey, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-229-5420 Fax: 708-229-4209 | |
Steven E Ambrose, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 |