| Dr Myrosia Tomiak Mitchell, MD | |
|
4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453-2600 | |
| (708) 915-5671 | |
| (708) 915-4022 |
| Full Name | Dr Myrosia Tomiak Mitchell |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083829378 | NPI | - | NPPES |
| 036077285 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036077285 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Gaston Radiology Pa | 4082680806 | 26 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Myrosia Tomiak Mitchell, MD 195 N Harbor Dr Apt 4802, Chicago, IL 60601-7540 Ph: (773) 702-3911 | Dr Myrosia Tomiak Mitchell, MD 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453-2600 Ph: (708) 915-5671 |
Dr. Choong H Koh, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653 Phone: 708-345-5520 | |
Dr. Paul Michael Guzzetta Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-3077 Fax: 708-684-4800 | |
Nihal Gooneratne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-648-5520 | |
Paul Montgomery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St Dept Of, Oak Lawn, IL 60453 Phone: 708-684-5503 Fax: 708-684-2675 | |
Antoine Azar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-6949 | |
Dr. Hyuk Jason Kang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-346-3055 |