| Dominic Joseph Antonacci, MD | |
|
155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | |
| (331) 221-5420 | |
| (331) 221-3701 |
| Full Name | Dominic Joseph Antonacci |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 155 E Brush Hill Rd, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487148870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036165774 (Illinois) | Primary |
| Entity Name | Precision Radiology - Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265156640 PECOS PAC ID: 6305218298 Enrollment ID: O20230216001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Joseph Antonacci, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: () - | Dominic Joseph Antonacci, MD 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 Ph: (331) 221-5420 |
Dr. Stephany Lynne Mazur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 | |
Suruchi Dewoolkar, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd. Department Of Radiology, Elmhurst, IL 60126 Phone: 331-221-1160 | |
Rajeev Bhorade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E. Brush Hill Rd. Department Of Radiology, Elmhurst, IL 60126 Phone: 331-221-5420 | |
Behrad Golshani, Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 | |
Dr. Kiran Chandrakant Rajmane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 | |
Marijan Pejic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-5420 Fax: 331-221-3701 | |
Regina Liebman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 |