| Firdausi F Mazda, MD | |
|
360 W Butterfield Rd, Ste 245, Elmhurst, IL 60126-5068 | |
| (630) 941-2646 | |
| (630) 941-3464 |
| Full Name | Firdausi F Mazda |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 360 W Butterfield Rd, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437138245 | NPI | - | NPPES |
| 0360534593 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036-053459 (Illinois) | Primary |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Firdausi F Mazda, MD 360 W Butterfield Rd, Ste 245, Elmhurst, IL 60126-5068 Ph: (630) 941-2646 | Firdausi F Mazda, MD 360 W Butterfield Rd, Ste 245, Elmhurst, IL 60126-5068 Ph: (630) 941-2646 |
Dr. John Patrick Richgels, MD Urology Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9004 Fax: 331-221-2248 | |
Scott J Cinel, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1200 S York Rd, Elmhurst, IL 60126 Phone: 630-941-2609 Fax: 630-758-8578 | |
Dr. Gordon James Kinzler, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 S York Rd, Suite 4290, Elmhurst, IL 60126 Phone: 630-758-8600 Fax: 630-758-8603 | |
Petras V Kisielius, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9004 Fax: 331-221-2748 | |
Archana Rajender, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9004 |