| Dr Raymond P Dipasquo, DO | |
|
12701 W 143rd St, Suite 250, Homer Glen, IL 60491-7715 | |
| (708) 301-1400 | |
| (708) 301-4295 |
| Full Name | Dr Raymond P Dipasquo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 12701 W 143rd St, Homer Glen, 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 |
|---|---|---|---|
| 1912950916 | NPI | - | NPPES |
| 036069676 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036069676 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Health Associates Pc | 0749254845 | 9 |
| Entity Name | Primary Health Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760577829 PECOS PAC ID: 0749254845 Enrollment ID: O20040824000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond P Dipasquo, DO 12701 W 143rd St, Suite 250, Homer Glen, IL 60491-7715 Ph: (708) 301-1400 | Dr Raymond P Dipasquo, DO 12701 W 143rd St, Suite 250, Homer Glen, IL 60491-7715 Ph: (708) 301-1400 |
Crystal D. Hines-mays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12701 W 143rd St, Homer Glen, IL 60491 Phone: 815-300-1100 | |
Dr. David A Dohse, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12701 W 143rd St, Suite 250, Homer Glen, IL 60491 Phone: 708-301-1400 Fax: 708-301-4295 | |
Mrs. Marie A Veldman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12701 W 143rd St, Ste 230, Homer Glen, IL 60491 Phone: 708-301-6702 Fax: 708-301-3421 | |
Roseann M Horan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12701 W 143rd St, Ste 230, Homer Glen, IL 60491 Phone: 708-301-6702 Fax: 708-301-3421 |