| Kevin Thengumtharayil Mathew, DO | |
|
155 E. Brush Hill Rd., Department Of Radiology, Elmhurst, IL 60126-5658 | |
| (331) 221-5420 | |
| (331) 221-3701 |
| Full Name | Kevin Thengumtharayil Mathew |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 155 E. Brush Hill Rd., Elmhurst, 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 |
|---|---|---|---|
| 1861982597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | U2564 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036167646 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Presence Saint Francis Hospital | Evanston, IL | Hospital |
| Presence Saints Mary And Elizabeth Medical Center | Chicago, IL | Hospital |
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
| Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Precision Radiology - Illinois Ltd | 6305218298 | 31 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Precision Radiology - Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265156640 PECOS PAC ID: 6305218298 Enrollment ID: O20230216001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Thengumtharayil Mathew, DO Po Box 713160, Chicago, IL 60677-0360 Ph: (262) 292-3151 | Kevin Thengumtharayil Mathew, DO 155 E. Brush Hill Rd., Department Of Radiology, Elmhurst, IL 60126-5658 Ph: (331) 221-5420 |
Dr. Stephany Lynne Mazur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 | |
Suruchi Dewoolkar, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd. Department Of Radiology, Elmhurst, IL 60126 Phone: 331-221-1160 | |
Rajeev Bhorade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E. Brush Hill Rd. Department Of Radiology, Elmhurst, IL 60126 Phone: 331-221-5420 | |
Behrad Golshani, Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 | |
Dr. Kiran Chandrakant Rajmane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 | |
Marijan Pejic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-5420 Fax: 331-221-3701 | |
Regina Liebman, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 |