| Aaron M Kearney, MD | |
|
12255 S 80th Ave Ste 204, Palos Heights, IL 60463-1284 | |
| (708) 923-4400 | |
| (708) 923-4295 |
| Full Name | Aaron M Kearney |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 12255 S 80th Ave Ste 204, Palos Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366804874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 036148309 (Illinois) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036148309 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron M Kearney, MD 12255 S 80th Ave Ste 204, Palos Heights, IL 60463-1284 Ph: () - | Aaron M Kearney, MD 12255 S 80th Ave Ste 204, Palos Heights, IL 60463-1284 Ph: (708) 923-4400 |
Franjo Siric, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4448 | |
Nandan Nath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Dr. Gabriel Abraham Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Dr. Imad Qayyum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12255 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 | |
Ijaz Qayyum, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 | |
Samer Rodwan Rajjoub, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 |