| Mr William Brundidge Jr, | |
|
2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153-3328 | |
| (708) 216-4943 | |
| Not Available |
| Full Name | Mr William Brundidge Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 2160 S 1st Ave, 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 |
|---|---|---|---|
| 1932633500 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arnett Clinic, Llc | 0749184380 | 412 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Brundidge Jr, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-4943 | Mr William Brundidge Jr, 2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153-3328 Ph: (708) 216-4943 |
Dr. Cathryn T Sawalski, DO, MBA Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Maryam Sabir, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Holly Kramer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Dr. Stephanie Bochen Tsai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Nicholas Poellinger, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Marisa Luck, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Sofia Ahmed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8757 |