| Mr Philip Sebastian Maciukiewicz, MD | |
|
2160 S First Avenue, Building 103 Room 3107, Maywood, IL 60153 | |
| (708) 216-9169 | |
| (708) 216-1249 |
| Full Name | Mr Philip Sebastian Maciukiewicz |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 1 Years |
| Location | 2160 S First Avenue, Maywood, 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 |
|---|---|---|---|
| 1619439809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 125.074702 (Illinois) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 036.158461 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
| Lincoln County Medical Center | Ruidoso, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Otero County Hospital Association | 3173516606 | 178 |
| Entity Name | Otero County Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Philip Sebastian Maciukiewicz, MD 2160 S First Avenue, Building 103 Room 3107, Maywood, IL 60153 Ph: (708) 216-9169 | Mr Philip Sebastian Maciukiewicz, MD 2160 S First Avenue, Building 103 Room 3107, Maywood, IL 60153 Ph: (708) 216-9169 |
Mariadas Chinthagada, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (bldg. 103, Rm. 3102), Maywood, IL 60153 Phone: 708-216-6462 Fax: 708-216-1249 | |
Meda Raghavendra, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 Phone: 708-216-6462 Fax: 708-216-1249 |