| Maxie I Mcdonough, MD | |
|
1675 Dempster St Fl 1, Park Ridge, IL 60068-1110 | |
| (847) 319-9300 | |
| (847) 723-9583 |
| Full Name | Maxie I Mcdonough |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1675 Dempster St Fl 1, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023479946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036148652 (Illinois) | Primary |
| 208000000X | Pediatrics | 036148652 (Illinois) | Secondary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxie I Mcdonough, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Maxie I Mcdonough, MD 1675 Dempster St Fl 1, Park Ridge, IL 60068-1110 Ph: (847) 319-9300 |
Dr. Justin Henry Arollado Figueroa, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 | |
Ashley Lynn Dojcsak, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-9340 | |
Rand Hashim, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Kaushik Ganesh, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Val Valencia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-8080 | |
Gaurav Chaturvedi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-9340 Fax: 847-318-2966 |