| Dr Chris Du, MD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-8467 | |
| Not Available |
| Full Name | Dr Chris Du |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366900508 | NPI | - | NPPES |
| 1366900508 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 32192301 (New York) | Secondary |
| 208800000X | Urology | 84818-20 (Wisconsin) | Secondary |
| 208800000X | Urology | 036.169235 (Illinois) | Primary |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chris Du, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (626) 231-1719 | Dr Chris Du, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-8467 |
Timothy Moonhwan Han, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8467 | |
Dr. Liam Hatch, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6901 Fax: 708-216-6585 | |
Christopher Gonzalez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Grace Bayudan Delos Santos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Derek John Matoka, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153 Phone: 708-216-6266 Fax: 708-216-6585 | |
Gopal N. Gupta, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153 Phone: 708-216-5098 Fax: 708-126-1699 | |
Dr. Ahmer V Farooq, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Department Of Urology, Fahey Center Rm 260, Maywood, IL 60153 Phone: 708-216-5100 Fax: 708-216-8991 |