Dr Edwin James Harris, DPM | |
10540 W Cermak Rd, Westchester, IL 60154-5250 | |
(708) 409-0546 | |
(708) 409-0552 |
Full Name | Dr Edwin James Harris |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 10540 W Cermak Rd, Westchester, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528056843 | NPI | - | NPPES |
016002609 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016 002609 (Illinois) | Primary |
Provider Name | Loyola University Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Edwin James Harris, DPM 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Dr Edwin James Harris, DPM 10540 W Cermak Rd, Westchester, IL 60154-5250 Ph: (708) 409-0546 |
Jay Andrew Hengel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10442 W Cermak Rd, Westchester, IL 60154 Phone: 708-562-1123 | |
Ahanth Vedantham, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1943 S Mannheim Rd, Westchester, IL 60154 Phone: 773-665-3000 | |
Suburban Foot Physicians Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 10442 W Cermak Rd, Westchester, IL 60154 Phone: 708-562-1123 Fax: 708-562-1225 | |
Dr. Francis A Kania, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1943 S Mannheim Rd, Westchester, IL 60154 Phone: 708-352-3338 Fax: 708-352-9933 | |
Podiatric Management Systems Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1943 S Mannheim Rd, Westchester, IL 60154 Phone: 708-352-3338 Fax: 708-352-9933 | |
Krista A. Goszkowicz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10442 W Cermak Rd, Westchester, IL 60154 Phone: 708-562-1123 Fax: 708-562-1225 |