| Miguel Burgos, MD | |
|
229 W Grand Avenue, Suite Qw, Bensenville, IL 60106 | |
| (630) 422-1917 | |
| (630) 422-7226 |
| Full Name | Miguel Burgos |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 229 W Grand Avenue, Bensenville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013058379 | NPI | - | NPPES |
| 036103673 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036103673 (Illinois) | Primary |
| Entity Name | Burgos Fuentes Service Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154491348 PECOS PAC ID: 7719151802 Enrollment ID: O20111130000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Burgos, MD 229 W Grand Avenue, Suite Qw, Bensenville, IL 60106 Ph: (630) 422-1917 | Miguel Burgos, MD 229 W Grand Avenue, Suite Qw, Bensenville, IL 60106 Ph: (630) 422-1917 |
Anna Crystal Chaidez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 Diana Ct, Bensenville, IL 60106 Phone: 630-484-8290 | |
Parul Vold, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 844 Dennis Dr, Bensenville, IL 60106 Phone: 224-544-9089 | |
Dr. Alvaro Enrique Pena, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 S York Rd, Bensenville, IL 60106 Phone: 630-521-9700 Fax: 630-521-9797 |