| 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 | 9 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 |
| Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Arnett Clinic Llc | 0749184380 | 401 |
| 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 |
| Entity Name | Methodist Medical Center of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20230109000143 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20250616001567 |
| 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: Not Enrolled in Medicare 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 |
Janvi Dhaval Nanavati, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 781-392-5475 |
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: Not Enrolled in Medicare 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 |