Dr Timothy Koplik Henderson, MD | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 684-5375 | |
Not Available |
Full Name | Dr Timothy Koplik Henderson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 6 Years |
Location | 4440 W 95th St, Oak Lawn, 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 |
---|---|---|---|
1033600168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125072398 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
Centura Health-st Anthony Hospital | Lakewood, CO | Hospital |
Centura Health-avista Adventist Hospital | Louisville, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Usacs Community Emergency Services Of Colorado Inc. | 2466711536 | 169 |
Entity Name | Usacs Of Colorado Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
Entity Name | Premier Emergency Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457755688 PECOS PAC ID: 0244554970 Enrollment ID: O20150128001221 |
Entity Name | Carepoint Emergency Medicine, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134590318 PECOS PAC ID: 7810291432 Enrollment ID: O20160202001426 |
Entity Name | Usacs Observation Medicine Services Of Colorado Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518491232 PECOS PAC ID: 9133498074 Enrollment ID: O20170707002144 |
Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Koplik Henderson, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 | Dr Timothy Koplik Henderson, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 |
Michael Cirone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 Fax: 708-684-1028 | |
Peter Peraud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4077 | |
Ms. Meghan Maureen Hurley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Nicolas Kettaneh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 | |
Emily Katherine Jonas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Ryan Leonard Freedman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 |