| Dr Antonio Fiumara, MD | |
|
900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | |
| (630) 954-6700 | |
| (630) 954-1555 |
| Full Name | Dr Antonio Fiumara |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 900 Jorie Blvd, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821035395 | NPI | - | NPPES |
| 036086999 | Medicaid | IL | |
| L76270 | Other | IL | MEDICARE PIN - 645650 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036086999 (Illinois) | Primary |
| Entity Name | Freeport Regional Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Antonio Fiumara, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 | Dr Antonio Fiumara, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 |
Arvind Shukla, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Hannah Chow-johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Commerce Dr Ste 500, Oak Brook, IL 60523 Phone: 331-732-4630 Fax: 331-732-4631 | |
Moon Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Emelie Medalle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Dr. Shobhana Ravikumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Dr. Antranik S Poladian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 963-954-1555 | |
Leonardo Malalis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 |