| Dr Charles A Longdon, DO | |
|
10400 Haligus Rd, Huntley, IL 60142-9553 | |
| (224) 654-0100 | |
| (224) 654-0105 |
| Full Name | Dr Charles A Longdon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 10400 Haligus Rd, Huntley, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770512170 | NPI | - | NPPES |
| 43498200 | Medicaid | WI | |
| 930121753 | Other | WI | MEDICARE RAILROAD |
| 930123615 | Other | WI | MEDICARE RAILROAD |
| P00153529 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 44365-021 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 036109417 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles A Longdon, DO 10400 Haligus Rd, Huntley, IL 60142-9553 Ph: (224) 654-0100 | Dr Charles A Longdon, DO 10400 Haligus Rd, Huntley, IL 60142-9553 Ph: (224) 654-0100 |
Patrick J Camodeca, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7112 | |
Dr. Al Sarraj, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 | |
Abdel H Noureldin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 | |
Nikita Yogesh Patel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0100 Fax: 224-654-0105 | |
David Ruehlmann, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0100 Fax: 224-654-0105 | |
Christopher Ring, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0000 | |
Dr. Hemant R Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7112 |