| Mark Amdur, MD | |
|
6201 Roosevelt Rd, Berwyn, IL 60402-1108 | |
| (708) 386-0845 | |
| Not Available |
| Full Name | Mark Amdur |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6201 Roosevelt Rd, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346277274 | NPI | - | NPPES |
| 036044305 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036044305 (Illinois) | Primary |
| Entity Name | Pcc Community Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Amdur, MD 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 Ph: (773) 404-0160 | Mark Amdur, MD 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845 |
Dr. Walter J Wojcik, M.D,,PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402 Phone: 708-783-0222 Fax: 708-783-0223 | |
Dr. Timothy K Mcgonagle, M.D, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402 Phone: 708-783-0222 Fax: 708-783-0223 | |
Dr. Mary Carolyn Fahrmeier, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Dr. John V Lim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1405 Harlem Ave, Berwyn, IL 60402 Phone: 708-484-8861 Fax: 866-391-1683 | |
Steven James Sharp, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Elizabeth Wilma Canelas, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6238 Cermak Rd, Berwyn, IL 60402 Phone: 708-795-5020 Fax: 708-795-5023 |