| Linda Brubaker, MD | |
|
2160 S 1st Ave, (russo Ent., Rm. 1016), Maywood, IL 60153 | |
| (708) 216-8563 | |
| (708) 216-2275 |
| Full Name | Linda Brubaker |
|---|---|
| Gender | Female |
| Speciality | Urology - Female Pelvic Medicine And Reconstructive Surgery |
| 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 |
|---|---|---|---|
| 1053385195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 36072594 (Illinois) | Secondary |
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 36072594 (Illinois) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174626618 PECOS PAC ID: 3577476761 Enrollment ID: O20031209001111 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Brubaker, MD Po Box 232410, San Diego, CA 92193-2410 Ph: (858) 249-6749 | Linda Brubaker, MD 2160 S 1st Ave, (russo Ent., Rm. 1016), Maywood, IL 60153 Ph: (708) 216-8563 |
Timothy Moonhwan Han, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8467 | |
Dr. Liam Hatch, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6901 Fax: 708-216-6585 | |
Christopher Gonzalez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Grace Bayudan Delos Santos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Kristin Baldea, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8152 | |
Dr. Derek John Matoka, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153 Phone: 708-216-6266 Fax: 708-216-6585 | |
Gopal N. Gupta, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153 Phone: 708-216-5098 Fax: 708-126-1699 |