| Matthew Rodridgo Endara, MD | |
|
823 N 129th Infantry Dr, Joliet, IL 60435-8346 | |
| (815) 729-9527 | |
| Not Available |
| Full Name | Matthew Rodridgo Endara |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 17 Years |
| Location | 823 N 129th Infantry Dr, Joliet, 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 |
|---|---|---|---|
| 1033370937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036.134420 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maury Regional Medical Group, Inc | 7911810742 | 101 |
| Entity Name | Maury Regional Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Rodridgo Endara, MD 5623 N Newcastle Ave, Chicago, IL 60631-3145 Ph: () - | Matthew Rodridgo Endara, MD 823 N 129th Infantry Dr, Joliet, IL 60435-8346 Ph: (815) 729-9527 |
Manuel F Corrales, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Uno Cir, Joliet, IL 60435 Phone: 815-725-2277 | |
Chukwuma Chisom Nwachukwu, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 301 Madison St Ste 307, Joliet, IL 60435 Phone: 630-545-7565 | |
Clyde Dawson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-2121 Fax: 815-741-6303 | |
John M Prabhakar, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2121 Oneida St, Joliet, IL 60435 Phone: 815-741-4148 Fax: 815-741-4686 | |
Dr. Umesh Sharma, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1300 Copperfield Ave Ste 3070, Joliet, IL 60432 Phone: 815-727-4050 | |
Dr. Bhavin Chandrakant Shah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Madison St Ste 302, Joliet, IL 60435 Phone: 815-582-3177 Fax: 815-582-3754 |