| Ms Jamie L Richard, MD | |
|
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
| (708) 684-6949 | |
| Not Available |
| Full Name | Ms Jamie L Richard |
|---|---|
| Gender | Female |
| Speciality | Interventional Radiology |
| Experience | 12 Years |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962840868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036.139540 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 036.139540 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Integrated Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jamie L Richard, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-6949 | Ms Jamie L Richard, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-6949 |
Dr. Choong H Koh, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653 Phone: 708-345-5520 | |
Dr. Paul Michael Guzzetta Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-3077 Fax: 708-684-4800 | |
Dr. Myrosia Tomiak Mitchell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453 Phone: 708-915-5671 Fax: 708-915-4022 | |
Nihal Gooneratne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-648-5520 | |
Paul Montgomery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St Dept Of, Oak Lawn, IL 60453 Phone: 708-684-5503 Fax: 708-684-2675 | |
Antoine Azar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-6949 | |
Dr. Hyuk Jason Kang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-346-3055 |