| Richard Evan Nichols, MD | |
|
1501 S California Ave, Chicago, IL 60608-1732 | |
| (773) 257-6498 | |
| Not Available |
| Full Name | Richard Evan Nichols |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 1501 S California Ave, Chicago, 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 |
|---|---|---|---|
| 1780849562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-121270 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Orthopaedic Hospital At Parkview North Llc | Fort wayne, IN | Hospital |
| Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
| Dekalb Health | Auburn, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Wayne Radiology Associates Llc | 5294624060 | 35 |
| Fort Wayne Radiology Associates Llc | 5294624060 | 35 |
| Breast Diagnostic Center Llc | 9335189513 | 9 |
| Entity Name | Community Hospitals And Wellness Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225167893 PECOS PAC ID: 7517878093 Enrollment ID: O20040226001067 |
| Entity Name | Fort Wayne Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063475861 PECOS PAC ID: 5294624060 Enrollment ID: O20050915000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Evan Nichols, MD 3707 New Vision Dr, Fort Wayne, IN 46845-1702 Ph: (708) 786-2900 | Richard Evan Nichols, MD 1501 S California Ave, Chicago, IL 60608-1732 Ph: (773) 257-6498 |
Dr. Don Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-926-8318 | |
Kaitlin Robling, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5000 | |
Lauren Elizabeth Arsenault, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244 | |
Dr. Joseph Robert Krebs, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St, Chicago, IL 60612 Phone: 913-544-6685 | |
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124 | |
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269 | |
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230 |