| Nnamdi Amilo, | |
|
10400 Haligus Rd, Huntley, IL 60142-9553 | |
| (224) 654-0000 | |
| (224) 654-0000 |
| Full Name | Nnamdi Amilo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 10400 Haligus Rd, Huntley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487283875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 78290 (Minnesota) | Primary |
| 207L00000X | Anesthesiology | 036171085 (Illinois) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Nnamdi Amilo, 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: () - | Nnamdi Amilo, 10400 Haligus Rd, Huntley, IL 60142-9553 Ph: (224) 654-0000 |
Dr. Stuart Cohen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 815-759-4323 Fax: 224-654-0000 | |
Dr. Ajay Dharmappa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0000 Fax: 224-654-0000 | |
Mr. Christopher L Graves, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd Fl 2, Huntley, IL 60142 Phone: 224-654-0000 Fax: 224-654-0000 | |
Clifford Song, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd Fl 2, Huntley, IL 60142 Phone: 224-654-0000 Fax: 224-654-0000 | |
Dr. Olga Gorenyuk, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0000 Fax: 224-654-0000 | |
Dr. Tony Tseng, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0000 Fax: 224-654-0000 |