| Richard Anthony Valadez, MD | |
|
351 Executive Pkwy, Rockford, IL 61107-5339 | |
| (815) 398-4057 | |
| (815) 398-0220 |
| Full Name | Richard Anthony Valadez |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 351 Executive Pkwy, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922088640 | NPI | - | NPPES |
| 036066868 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036066868 (Illinois) | Primary |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Anthony Valadez, MD 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 | Richard Anthony Valadez, MD 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 |
Daniel Lee Houlihan, D.O. Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Dr. Luke Richard Frederick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Ashley Wire, FNP-BC Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Christopher Whelan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-316-4296 | |
Douglas Paul Roegner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Daniel Lawler Swift, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Michael John Fumo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 |