| Mr Anthony Calvin Phan, MD | |
|
15300 West Ave Ste 210, Orland Park, IL 60462-4686 | |
| (630) 909-7000 | |
| (630) 909-7002 |
| Full Name | Mr Anthony Calvin Phan |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 6 Years |
| Location | 15300 West Ave Ste 210, Orland Park, 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 |
|---|---|---|---|
| 1851852123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 125076215 (Illinois) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 036165088 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palos Community Hospital | Palos heights, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony Calvin Phan, MD 15300 West Ave Ste 210, Orland Park, IL 60462-4686 Ph: (630) 909-7000 | Mr Anthony Calvin Phan, MD 15300 West Ave Ste 210, Orland Park, IL 60462-4686 Ph: (630) 909-7000 |
Dr. John M Kalec, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10900 Royal Glen Dr, Orland Park, IL 60467 Phone: 708-403-2064 | |
Dr. Sung-lana Kim, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10719 West 160th Street, Orland Park, IL 60467 Phone: 708-226-3300 Fax: 708-226-4202 | |
Dr. Ernesto Ibalio Lardizabal, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11528 183rd Pl, Orland Park, IL 60467 Phone: 708-326-1700 Fax: 708-326-1707 |