| Mckenzie Mosenthal, | |
|
2160 S 1st Ave, Maywood, IL 60153 | |
| (708) 216-1000 | |
| Not Available |
| Full Name | Mckenzie Mosenthal |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| 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 |
|---|---|---|---|
| 1972007631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 125.072167 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036156658 (Illinois) | Primary |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Mosenthal, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Mckenzie Mosenthal, 2160 S 1st Ave, Maywood, IL 60153 Ph: (708) 216-1000 |
Anita Oza Nagamine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Paolo Gian Piero Nucifora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Christine Dudiak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Dr. Scott Alan Mirowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 So First Avenue, Radiology, Maywood, IL 60153 Phone: 708-216-9000 | |
Kyle Mcwilliams, DO Radiology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 260-460-0514 | |
Veronia Fahmy, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4051 |