Johnathon Recknagel, MD | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Johnathon Recknagel |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942799804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2022-01254 (North Carolina) | Secondary |
207V00000X | Obstetrics & Gynecology | 036175917 (Illinois) | Primary |
Entity Name | Uwh Of The Carolinas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639506470 PECOS PAC ID: 0042448169 Enrollment ID: O20140118000107 |
Mailing Address | Practice Location Address |
---|---|
Johnathon Recknagel, MD 504 E Pettigrew St Apt 559, Durham, NC 27701-3896 Ph: (734) 478-6731 | Johnathon Recknagel, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Paige T Song, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Linda Brubaker, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, (russo Ent., Rm. 1016), Maywood, IL 60153 Phone: 708-216-8563 Fax: 708-216-2275 | |
Hannah Catherine Milad, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Vanessa Maria Orlando Castellanos, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Lena Rose Wiley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3380 | |
Fabiola Fernandez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Leslie Marie Waddell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-2460 |