| Dr Michael Richard Wilson, DO | |
|
900 Skokie Blvd, Northbrook, IL 60062-4012 | |
| (847) 272-7426 | |
| (847) 412-6440 |
| Full Name | Dr Michael Richard Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 24 Years |
| Location | 900 Skokie Blvd, Northbrook, 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 |
|---|---|---|---|
| 1932185584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | DO25780 (Oregon) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 036.110638 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| St Alexius Medical Center | Hoffman estates, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Services Ric | 4880598978 | 81 |
| Entity Name | Medical Services Ric |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659306587 PECOS PAC ID: 4880598978 Enrollment ID: O20040106000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Richard Wilson, DO 355 E Erie St, Chicago, IL 60611-3167 Ph: (312) 238-1000 | Dr Michael Richard Wilson, DO 900 Skokie Blvd, Northbrook, IL 60062-4012 Ph: (847) 272-7426 |
Dr. Ricardo Gabriel Senno, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1535 Lake Cook Rd, Suite 306, Northbrook, IL 60062 Phone: 847-644-8242 Fax: 847-272-8221 | |
Dr. Shashi Prabha Agrawal, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3015 Keystone Rd, Northbrook, IL 60062 Phone: 847-564-5127 | |
Susan Keeshin, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 900 Skokie Blvd, Northbrook, IL 60062 Phone: 847-510-5620 Fax: 847-412-6440 | |
Claire Somarriba, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4101 Lake Cook Rd, Northbrook, IL 60062 Phone: 847-562-1770 |