| 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 | Diagnostic Radiology |
| Experience | 8 Years |
| Location | 155 E Brush Hill Rd, Elmhurst, 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 |
|---|---|---|---|
| 1487148870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036165774 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
| Carle Health Methodist Hospital | Peoria, IL | Hospital |
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Carle Health Proctor Hospital | Peoria, IL | Hospital |
| Carle Health Pekin Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1134 |
| Specialists In Medical Imaging Sc | 2163733544 | 228 |
| Presence Healthcare Services | 2860396769 | 69 |
| Entity Name | The Board of Trustees of the University of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| 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 | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Entity Name | Specialists in Medical Imaging, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| 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: Not Available | 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: Medicare Enrolled Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 |