| Angelo Miele, MD | |
|
501 Thornhill Dr, Carol Stream, IL 60188-2793 | |
| (630) 668-3210 | |
| (630) 668-3505 |
| Full Name | Angelo Miele |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 501 Thornhill Dr, Carol Stream, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144326109 | NPI | - | NPPES |
| 920540 | Other | IL | MEDICARE GROUP PTAN |
| 036064705 | Medicaid | IL | |
| P01328176 | Other | IL | MEDICARE INDIVIDUAL RR PTAN |
| F400137214 | Other | IL | MEDICARE INDIVIDUAL PTAN |
| CA4748 | Other | IL | MEDICARE GROUP RR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036064705 (Illinois) | Primary |
| Entity Name | Senior Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760205405 PECOS PAC ID: 1153856414 Enrollment ID: O20241122001859 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelo Miele, MD 501 Thornhill Dr, Carol Stream, IL 60188-2793 Ph: (630) 668-3210 | Angelo Miele, MD 501 Thornhill Dr, Carol Stream, IL 60188-2793 Ph: (630) 668-3210 |
Evelyn Diaz-jimenez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 575 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-480-0226 Fax: 630-868-3127 | |
Joseph Anthony Lagattuta Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 630 E North Ave Dept Of, Carol Stream, IL 60188 Phone: 630-458-5300 Fax: 630-307-2751 | |
Nausheen Hasan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 Belmont Ln, Carol Stream, IL 60188 Phone: 630-682-1950 Fax: 630-682-1960 | |
Asad Rafiq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 E North Ave Dept Of, Carol Stream, IL 60188 Phone: 630-458-5300 | |
Mark Richard Bednard, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-668-3210 | |
William Bayer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-668-3210 Fax: 630-668-3505 |