| Dr William C Park, MD | |
|
1300 N Highland Ave Ste 1, Aurora, IL 60506-1481 | |
| (630) 897-5104 | |
| (630) 897-5089 |
| Full Name | Dr William C Park |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1300 N Highland Ave Ste 1, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942458237 | NPI | - | NPPES |
| CC2168 | Other | IL | RR MC GROUP |
| 036121758 | Medicaid | IL | |
| 362765923 | Medicaid | IL | |
| 542440001 | Other | IL | WPS PROVIDER NUMBER |
| P00819332 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 036.121758 (Illinois) | Primary |
| Entity Name | Robert J Barnes Md Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992776322 PECOS PAC ID: 2769384163 Enrollment ID: O20040126000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William C Park, MD 1300 N Highland Ave Ste 1, Aurora, IL 60506-1481 Ph: (630) 897-5104 | Dr William C Park, MD 1300 N Highland Ave Ste 1, Aurora, IL 60506-1481 Ph: (630) 897-5104 |
Dr. Lois Ann Polatnick, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1300 N Highland Ave, Aurora, IL 60506 Phone: 630-897-5104 | |
Richard D Zak, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1300 N Highland Ave, Ste 1, Aurora, IL 60506 Phone: 630-897-5104 Fax: 630-897-5089 | |
Benjamin Mathew, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
John L Chu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
David K Yoo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1300 N Highland Ave Ste 1, Aurora, IL 60506 Phone: 630-897-5104 Fax: 630-897-5089 | |
Robert J Barnes, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1300 N Highland Ave, Suite 1, Aurora, IL 60506 Phone: 630-897-5104 Fax: 630-897-5089 | |
Tosca M Kekish, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 |