| Dr Adrian M Cordoba, MD | |
|
1300 Franklin Ave, Normal, IL 61761-3592 | |
| (309) 454-1400 | |
| Not Available |
| Full Name | Dr Adrian M Cordoba |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1300 Franklin Ave, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942249131 | NPI | - | NPPES |
| 036087071*1 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 36087071 (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adrian M Cordoba, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: Not Available | Dr Adrian M Cordoba, MD 1300 Franklin Ave, Normal, IL 61761-3592 Ph: (309) 454-1400 |
Dr. Daniel L Ha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 |
Dr. Ajay R Malpani, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 |
Patrick S Fernandes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 407 E Vernon Ave, Normal, IL 61761 Phone: 309-451-2231 Fax: 309-451-2299 |
Dr. Carlos P Capati, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 |
Dr. David Koch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 |
Amit Vyas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761 Phone: 730-945-2178 Fax: 309-862-1302 |
Nicholas Florence, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |