| Christopher Whelan, MD | |
|
351 Executive Pkwy, Rockford, IL 61107-5339 | |
| (815) 398-4057 | |
| (815) 316-4296 |
| Full Name | Christopher Whelan |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 351 Executive Pkwy, Rockford, 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 |
|---|---|---|---|
| 1275745267 | NPI | - | NPPES |
| 100324627 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 36131751 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Swedish American Hospital | Rockford, IL | Hospital |
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockford Urological Associates Ltd | 3971604380 | 12 |
| Baycare Aurora Llc | 0244130557 | 187 |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Entity Name | Rockford Urological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194786558 PECOS PAC ID: 3971604380 Enrollment ID: O20070728000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Whelan, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Christopher Whelan, MD 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 |
Daniel Lee Houlihan, D.O. Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Dr. Luke Richard Frederick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Ashley Wire, FNP-BC Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Douglas Paul Roegner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Daniel Lawler Swift, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Michael John Fumo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 |