| Dr Alexander Gorodetsky, MD | |
|
550 W Webster Ave, Chicago, IL 60614-3965 | |
| (773) 883-3659 | |
| Not Available |
| Full Name | Dr Alexander Gorodetsky |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 550 W Webster Ave, Chicago, 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 |
|---|---|---|---|
| 1073541108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 036-096374 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adi Radiology Pc | 7911236427 | 153 |
| Somc Medical Care Foundation, Inc. | 9436061645 | 388 |
| Middle Tennessee Imaging Llc | 5698743706 | 121 |
| Entity Name | Adi Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083266761 PECOS PAC ID: 7911236427 Enrollment ID: O20230919001820 |
| 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 |
|---|---|
| Dr Alexander Gorodetsky, MD 67 Beach Rd, Glencoe, IL 60022-1313 Ph: (847) 835-7465 | Dr Alexander Gorodetsky, MD 550 W Webster Ave, Chicago, IL 60614-3965 Ph: (773) 883-3659 |
Kabeer Rajan Masih, MD Radiology Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 |
Lauren Elizabeth Arsenault, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244 |
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124 |
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269 |
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230 |
Dr. Amar Pravin Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 461, Chicago, IL 60612 Phone: 312-942-5781 |
Dr. Naveen Prabhakar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-7820 Fax: 773-296-7821 |