| Dr Michael H Hamblin, MD | |
|
355 Ridge Ave, Evanston, IL 60202-3328 | |
| (847) 316-6101 | |
| Not Available |
| Full Name | Dr Michael H Hamblin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 355 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1891734596 | NPI | - | NPPES |
| 01615776 | Other | IL | BCBS PROVIDER NUMBER |
| 036111302 | Medicaid | IL | |
| P00280131 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036111302 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Alexius Medical Center | Hoffman estates, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiological Consultants Of Woodstock Ltd | 1052385259 | 9 |
| Entity Name | Radiological Consultants Of Woodstock Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962507889 PECOS PAC ID: 1052385259 Enrollment ID: O20040824000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael H Hamblin, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-6101 | Dr Michael H Hamblin, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-6101 |
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 |