| Carly Rachel Richards, MD | |
|
120 Spalding Dr Ste 100, Naperville, IL 60540-6526 | |
| (630) 961-0423 | |
| (630) 961-9280 |
| Full Name | Carly Rachel Richards |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 120 Spalding Dr Ste 100, Naperville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518305119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 84461 (Georgia) | Secondary |
| 208600000X | Surgery | 036-174007 (Illinois) | Primary |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20221228000474 |
| Entity Name | Surgical Affiliates Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20230712000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Rachel Richards, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Carly Rachel Richards, MD 120 Spalding Dr Ste 100, Naperville, IL 60540-6526 Ph: (630) 961-0423 |
Dr. Michael Joseph Gaffud, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 E Ogden Ave Ste 301, Naperville, IL 60563 Phone: 630-545-7565 | |
James W Wielgolewski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Spalding Dr, Suite 100, Naperville, IL 60540 Phone: 630-961-0423 Fax: 630-961-9280 | |
Ahmad Nourallah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1948 Three Farms Ave, Naperville, IL 60540 Phone: 630-355-5633 Fax: 630-355-5215 | |
Louis C Montana, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr, Ste 100, Naperville, IL 60540 Phone: 630-961-0423 Fax: 630-961-9280 | |
Morta Lapkus, MD Surgery Medicare: Medicare Enrolled Practice Location: 120 Spalding Dr Ste 205, Naperville, IL 60540 Phone: 630-646-6020 Fax: 630-527-3400 | |
Dr. Robert R Payton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 W Martin Ave Ste 225, Naperville, IL 60540 Phone: 630-355-5633 | |
Dr. George I. Salti, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 205, Naperville, IL 60540 Phone: 630-646-6020 Fax: 630-527-3400 |