| Dr David L Mutchnik, MD | |
| 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 | |
| (847) 677-4111 | |
| (847) 677-3343 | 
| Full Name | Dr David L Mutchnik | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 9669 Kenton Ave, Skokie, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417917006 | NPI | - | NPPES | 
| 036038702 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 036038702 (Illinois) | Primary | 
| Entity Name | United Shockwave Services Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr David L Mutchnik, MD 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 Ph: (847) 677-4111 | Dr David L Mutchnik, MD 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 Ph: (847) 677-4111 | 
| John Milner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9669 Kenton Ave, Ste. 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343 | |
| Sangtae Park, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9711 Skokie Blvd, Ste H, Skokie, IL 60077 Phone: 847-676-2400 Fax: 847-676-2485 | |
| Dr. Steven E. Mutchnik, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9669 Kenton Ave, Suite 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343 | |
| Dr. Sam Lipshitz, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7520 Skokie Blvd, Skokie, IL 60077 Phone: 847-514-2662 | |
| Israel Berger, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Suite 306, Skokie, IL 60076 Phone: 847-329-0900 Fax: 847-679-3817 | |
| Dr. Lev Elterman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4959 Golf Rd, Skokie, IL 60077 Phone: 847-410-8416 Fax: 224-496-2424 |