| Dr John E Connolly, MD | |
|
2233 W Division St, Chicago, IL 60622-8151 | |
| (312) 770-3990 | |
| (312) 770-2161 |
| Full Name | Dr John E Connolly |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 2233 W Division St, 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 |
|---|---|---|---|
| 1215987508 | NPI | - | NPPES |
| 036091823 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036091823 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health -st John Hospital | Detroit, MI | Hospital |
| Henry Ford Health Warren Hospital | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastpointe Radiologists Pc | 7618876327 | 112 |
| Entity Name | Radiology Consultants of Rockford Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013985647 PECOS PAC ID: 3274596572 Enrollment ID: O20041108000916 |
| Entity Name | Specialists in Medical Imaging, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| Entity Name | Comanche County Hospital Authority Southwest Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194996447 PECOS PAC ID: 7113082009 Enrollment ID: O20200108001866 |
| Entity Name | Eastpointe Radiologists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642056 PECOS PAC ID: 7618876327 Enrollment ID: O20211013001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John E Connolly, MD 2233 W Division St, Chicago, IL 60622-8151 Ph: (312) 770-3990 | Dr John E Connolly, MD 2233 W Division St, Chicago, IL 60622-8151 Ph: (312) 770-3990 |
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 |