| Dr Richard Lichtenberg, MS | |
|
1 Ingalls Dr, Harvey, IL 60426-3558 | |
| (708) 331-7800 | |
| (708) 339-0695 |
| Full Name | Dr Richard Lichtenberg |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 37 Years |
| Location | 1 Ingalls Dr, Harvey, 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 |
|---|---|---|---|
| 1962465476 | NPI | - | NPPES |
| 036082391 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036082391 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Spectrum Health | Grand rapids, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Radiology Services Pc | 4284546516 | 243 |
| Entity Name | Advanced Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
| Entity Name | Spartan Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Lichtenberg, MS 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7339 | Dr Richard Lichtenberg, MS 1 Ingalls Dr, Harvey, IL 60426-3558 Ph: (708) 331-7800 |
Raj Chinnappan, Radiology Medicare: Accepting Medicare Assignments Practice Location: 71 W 156th St, Suite 110, Harvey, IL 60426 Phone: 713-927-0733 | |
Dr. William J. Burns, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-331-7800 Fax: 708-339-0695 | |
Dr. Kent C. Webb, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-331-7800 Fax: 708-339-0695 | |
Dr. Tonya Echols Cole, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-6620 | |
Dr. Sulochana D Yalavarthi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Ingalls Dr, Cancer Care Center, Harvey, IL 60426 Phone: 708-915-6620 Fax: 708-915-3782 | |
Dr. Edward Unger, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-331-7800 Fax: 708-339-0695 | |
Dr. Shamit Shailendra Desai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-5614 |