| Dr Tyler Hall Cornelius, MD | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (815) 933-1671 | |
| Not Available |
| Full Name | Dr Tyler Hall Cornelius |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 350 N Wall St, Kankakee, 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 |
|---|---|---|---|
| 1447593116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-146042 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Illinois Radiological Associates Ltd | 9436061827 | 162 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Hall Cornelius, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (847) 406-7016 | Dr Tyler Hall Cornelius, MD 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Dr. Howard I Roth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Ruiz De Luzuriaga, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7525 | |
Stephen Supple, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Ryan J Meiners, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Supriya Gupta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 877-737-4636 | |
Jeffery P Mendell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 |