| Daniel Wenzke, MD | |
|
2650 Ridge Ave, Dept Of Radiology, Evanston, IL 60201-1718 | |
| (847) 570-2000 | |
| Not Available |
| Full Name | Daniel Wenzke |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 2650 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1376704395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036.115098 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas Rutherford Hospital | Murfreesboro, TN | Hospital |
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Banner Ironwood Medical Center | Queen creek, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radia Inc P S | 9931012812 | 275 |
| Swedish Health Services | 3173433067 | 154 |
| Middle Tennessee Imaging Llc | 5698743706 | 116 |
| Murfreesboro Radiology And Nuclear Medicine Consultants Pllc | 7719964063 | 108 |
| Middle Tennessee Imaging Llc | 5698743706 | 116 |
| Murfreesboro Radiology And Nuclear Medicine Consultants Pllc | 7719964063 | 108 |
| Swedish Health Services | 0244138196 | 1051 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Murfreesboro Radiology & Nuclear Medicine Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316043524 PECOS PAC ID: 7719964063 Enrollment ID: O20160127000166 |
| Entity Name | Middle Tennessee Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770667289 PECOS PAC ID: 5698743706 Enrollment ID: O20250205001655 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Wenzke, MD 2650 Ridge Ave, Dept Of Radiology, Evanston, IL 60201-1718 Ph: (847) 570-2000 | Daniel Wenzke, MD 2650 Ridge Ave, Dept Of Radiology, Evanston, IL 60201-1718 Ph: (847) 570-2000 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Stefan Ryan Erickson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-4000 |