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 |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 155 E. Brush Hill 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 |
---|---|---|---|
1861982597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | U2564 (Texas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036167646 (Illinois) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
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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 |
Regina Liebman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
Jerold Bart Weinberg, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
Barry D Lessin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
Lee N Dennis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
David Wasserman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
Djordje Boskov, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 566 S Hillcrest Ave, Elmhurst, IL 60126 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Nishant Kumar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E. Brush Hill Road, Elmhurst, IL 60126 Phone: 331-221-5420 |