| Craig Davishoff, MD | |
|
1324 N Sheridan, Victory Memorial Hospital, Waukegan, IL 60046 | |
| (847) 360-4189 | |
| (847) 360-4013 |
| Full Name | Craig Davishoff |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 1324 N Sheridan, Waukegan, 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 |
|---|---|---|---|
| 1861507345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vista Medical Center East | Waukegan, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waukegan Clinic Corp | 4284631086 | 58 |
| Entity Name | Vista Imaging Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013067214 PECOS PAC ID: 6002806734 Enrollment ID: O20040514000862 |
| Entity Name | Waukegan Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306937289 PECOS PAC ID: 4284631086 Enrollment ID: O20061108000240 |
| Entity Name | Radiology Associates Of Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710708771 PECOS PAC ID: 0345775599 Enrollment ID: O20241125001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Davishoff, MD 1324 N Sheridan, Victory Memorial Hospital, Waukegan, IL 60046 Ph: (847) 360-4189 | Craig Davishoff, MD 1324 N Sheridan, Victory Memorial Hospital, Waukegan, IL 60046 Ph: (847) 360-4189 |
Robert Dickstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan, Victory Memorial Hospital, Waukegan, IL 60046 Phone: 847-360-4189 Fax: 847-360-4013 | |
Dr. Gregory Karl Mork, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Vista Medical Center, Waukegan, IL 60085 Phone: 847-360-4189 Fax: 847-360-4013 | |
Neil Puller, MD Radiology Medicare: Medicare Enrolled Practice Location: 1324 N Sheridan, Victory Memorial Hospital, Waukegan, IL 60046 Phone: 847-360-4189 Fax: 847-360-4013 |