| P & D Medical, S.c. | |
|
4201 W 95th St Oak Lawn IL 60453-2615 | |
| (708) 636-1466 | |
| (708) 636-0264 |
| Full Name | P & D Medical, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4201 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Peter B. Dragisic (CO-OWNER) |
| Authorized Official Contact | 7086361466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P & D Medical, S.c. 4201 W 95th St Oak Lawn IL 60453-2615 Ph: (708) 636-1466 | P & D Medical, S.c. 4201 W 95th St Oak Lawn IL 60453-2615 Ph: (708) 636-1466 |
| NPI Number | 1124129697 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 05/29/2008 |
| Medicare PECOS PAC ID | 4688779515 |
|---|---|
| Medicare Enrollment ID | O20070420000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124129697 | NPI | - | NPPES |
| 01636324 | Other | IL | BCBS |
| DG6568 | Other | IL | RAILROAD MEDICARE |
| 016092116 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036092116 (Illinois) | Primary |
| Provider Name | Peter B Dragisic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205932332 PECOS PAC ID: 2961507801 Enrollment ID: I20070424000648 |
| Provider Name | Dragomir Jovanovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063518108 PECOS PAC ID: 0648375501 Enrollment ID: I20070425000317 |
| Provider Name | Amit Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568773117 PECOS PAC ID: 5395986806 Enrollment ID: I20130725000813 |
| Provider Name | Laura Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912630146 PECOS PAC ID: 6901279587 Enrollment ID: I20230301001672 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Advanced Wound Care Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 W 111th St Ste 2, Oak Lawn, IL 60453 Phone: 708-424-7600 Fax: 708-424-7605 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |