| Dr Thomas A Iannucci, MD | |
|
1875 Dempster St, Suite 325, Park Ridge, IL 60068-1186 | |
| (847) 723-8610 | |
| (847) 723-2290 |
| Full Name | Dr Thomas A Iannucci |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 1875 Dempster St, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225070014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 036076184 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas A Iannucci, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Thomas A Iannucci, MD 1875 Dempster St, Suite 325, Park Ridge, IL 60068-1186 Ph: (847) 723-8610 |
Dr. James R. Dolan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1700 Luther Ln, Park Ridge, IL 60068 Phone: 847-723-8180 | |
Alexandra Jordan Douglas Phelps, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1875 Dempster St Ste 330, Park Ridge, IL 60068 Phone: 847-655-8530 | |
Brian Peter Mcculloch, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Suite 325, Park Ridge, IL 60068 Phone: 847-723-8610 | |
Daisy Oceguera, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St Ste 465, Park Ridge, IL 60068 Phone: 847-825-1100 Fax: 847-825-0994 | |
Dr. Therese Wos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 635645, Park Ridge, IL 60068 Phone: 847-825-7030 | |
Sasha Nuhn, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St Ste 465, Park Ridge, IL 60068 Phone: 847-825-1100 | |
Dr. Isabel Gomez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St, Suite 340, Park Ridge, IL 60068 Phone: 847-655-8500 |