| James Gordon Martin, MD | |
|
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
| (708) 783-0437 | |
| (708) 783-6919 |
| Full Name | James Gordon Martin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 3249 Oak Park Ave, Berwyn, 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 |
|---|---|---|---|
| 1235382011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036122080 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036122080 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macneal Hospital | Berwyn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Loyola Medical Group Llc | 6305109547 | 106 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| James Gordon Martin, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-0437 | James Gordon Martin, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-0437 |
Haris Aleem, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Udochukwu O Asonye, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Aijaz Walji, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Tonia Ann Gooden, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 708-783-3400 |