| Ezekiel Richardson, MD | |
|
4201 W Medical Center Dr, Mchenry, IL 60050-8409 | |
| (815) 759-3100 | |
| (815) 363-9094 |
| Full Name | Ezekiel Richardson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 4201 W Medical Center Dr, Mchenry, 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 |
|---|---|---|---|
| 1598226433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036160175 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 125.074575 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Ezekiel Richardson, MD 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 759-3100 | Ezekiel Richardson, MD 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 759-3100 |
Dr. Robert W Schwaner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3922 Mercy Dr, Mchenry, IL 60050 Phone: 815-344-4499 | |
Katherine Jean Savage, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094 | |
Dr. Leonard Levites, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600 | |
John Pacini, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9044 | |
Neda Imam, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948 | |
Troy B Shaffer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600 | |
Dr. Luciano Orta Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094 |