| Dr Lamont Gerald Clay, MD | |
|
4440 W 95th St, Department Of Emergency Medicine, Oak Lawn, IL 60453-2600 | |
| (708) 684-4077 | |
| Not Available |
| Full Name | Dr Lamont Gerald Clay |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932112273 | NPI | - | NPPES |
| 36111737 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Entity Name | Mid-ohio Emergency Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386691780 PECOS PAC ID: 8921907601 Enrollment ID: O20031231000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lamont Gerald Clay, MD 4440 W 95th St, Department Of Emergency Medicine, Oak Lawn, IL 60453-2600 Ph: (708) 684-4077 | Dr Lamont Gerald Clay, MD 4440 W 95th St, Department Of Emergency Medicine, Oak Lawn, IL 60453-2600 Ph: (708) 684-4077 |
Michael Cirone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 Fax: 708-684-1028 | |
Peter Peraud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4077 | |
Dr. Thomas Kevin Seagraves, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Dr. Timothy Koplik Henderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 | |
Elizabeth Kunjummen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Ms. Meghan Maureen Hurley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Nicolas Kettaneh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 |