| Dr Jordan Michael Prager, MD | |
|
2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201-1718 | |
| (847) 570-2475 | |
| (847) 570-2942 |
| Full Name | Dr Jordan Michael Prager |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265465421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | (Illinois) | Primary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181212002794 |
| Entity Name | Howard Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20191118002405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Michael Prager, MD 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201-1718 Ph: (847) 570-2475 | Dr Jordan Michael Prager, MD 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201-1718 Ph: (847) 570-2475 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Stefan Ryan Erickson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-4000 |