| Dr Douglas Ray Bierma Jr, MD | |
|
700 W Jefferson St, Shorewood, IL 60431-7608 | |
| (815) 741-2888 | |
| Not Available |
| Full Name | Dr Douglas Ray Bierma Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 700 W Jefferson St, Shorewood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326034422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 03609995 (Illinois) | Primary |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Ray Bierma Jr, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Dr Douglas Ray Bierma Jr, MD 700 W Jefferson St, Shorewood, IL 60431-7608 Ph: (815) 741-2888 |
Mr. Bruno John Jercinovic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 W Jefferson St, Shorewood, IL 60404 Phone: 815-729-1144 Fax: 815-729-2587 | |
Dr. Thomas John Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Jefferson St, Shorewood, IL 60431 Phone: 815-741-2888 | |
Dr. Spomenka Jercinovic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 W Jefferson St, Shorewood, IL 60404 Phone: 815-729-1144 Fax: 815-729-2587 | |
Dr. Ayezah Mir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Jefferson St, Shorewood, IL 60404 Phone: 815-514-2040 Fax: 815-741-2860 |