Dr Thomas J Nielsen, MD | |
1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 | |
(312) 942-6100 | |
(312) 942-6225 |
Full Name | Dr Thomas J Nielsen |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1611 W Harrison St, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235138546 | NPI | - | NPPES |
036072375 | Medicaid | IL | |
CB1567 | Other | IL | RRMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036072375 (Illinois) | Primary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 036-072375 (Illinois) | Secondary |
Entity Name | Rush Otolaryngology Head And Neck Surgery |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124101548 PECOS PAC ID: 6406855261 Enrollment ID: O20061206000017 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas J Nielsen, MD 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 Ph: (312) 942-6100 | Dr Thomas J Nielsen, MD 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 Ph: (312) 942-6100 |
Dr. Mausumi Natalie Syamal, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 W Harrison St, Chicago, IL 60612 Phone: 312-563-4100 | |
Laura Anna Petrauskas, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave # Mc1035, Chicago, IL 60637 Phone: 630-254-6305 | |
Dr. Whitney E. Liddy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 15-200, Chicago, IL 60611 Phone: 312-695-4679 | |
Robert Kern, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Dr. Elias M Michaelides, M. D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 W Harrison St Ste 550, Chicago, IL 60612 Phone: 312-942-6100 | |
Dr. Stephen Yeh Jr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3860 West Ogden Avenue, Chicago, IL 60623 Phone: 872-588-3000 Fax: 847-998-0483 | |
Aimee Adair Kennedy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Mc 1035, E-102, Chicago, IL 60637 Phone: 773-795-3158 |