| Brian Powell, | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 327-3436 | |
| Not Available |
| Full Name | Brian Powell |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225422330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036146884 (Illinois) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Powell, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Brian Powell, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 327-3436 |
Brandon Forman, DO General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Amitha Madhuri Avasarala, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5140 | |
Juhyun Lee, General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-0899 | |
Dr. Faith Buchanan, MD General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 202-877-6292 |