| Martin A Urban, MD | |
|
3871 N Perryville Rd, Rockford, IL 61114-8080 | |
| (815) 397-5554 | |
| (815) 550-0061 |
| Full Name | Martin A Urban |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 3871 N Perryville Rd, Rockford, 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 |
|---|---|---|---|
| 1912953191 | NPI | - | NPPES |
| 036070380 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 36-070380 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Rochelle Community Hospital | Rochelle, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| St Alexius Medical Center | Hoffman estates, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camelot Radiology Associates Ltd | 4880580521 | 19 |
| Bonaventure Medical Foundation Llc | 7517863178 | 145 |
| Freeport Memorial Hospital | 8426958232 | 101 |
| Entity Name | Bonaventure Medical Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Camelot Radiology Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841244753 PECOS PAC ID: 4880580521 Enrollment ID: O20040227000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin A Urban, MD 3871 N Perryville Rd, Rockford, IL 61114-8080 Ph: (815) 397-5554 | Martin A Urban, MD 3871 N Perryville Rd, Rockford, IL 61114-8080 Ph: (815) 397-5554 |
Dr. Alix Vincent, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Christopher Vittore, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Martin Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 888-696-7820 Fax: 815-636-1771 | |
Karl E. Magsamen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Esther Lee, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Steven L Schneider, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-6205 Fax: 815-636-1771 | |
Dr. Sean Alexander Feinberg, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 |