| Ryan C Enke, MD | |
|
5875 E Riverside Blvd, Rockford, IL 61114-4937 | |
| (815) 398-9491 | |
| Not Available |
| Full Name | Ryan C Enke |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 21 Years |
| Location | 5875 E Riverside Blvd, Rockford, 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 |
|---|---|---|---|
| 1053320317 | NPI | - | NPPES |
| 036123314 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036123314 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cgh Medical Center | Sterling, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthomidwest, Pllc | 0749183713 | 430 |
| Cgh Medical Center | 6103723267 | 172 |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Entity Name | Orthomidwest, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan C Enke, MD Po Box 735263, Chicago, IL 60673-5263 Ph: () - | Ryan C Enke, MD 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491 |
Pirojna Jantra, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2825 Glenwood Ave, Rockford, IL 61101 Phone: 815-965-9712 | |
Sean P Mackenzie, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. Kumud Nigam, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6957 Olde Creek Rd, Suite #3400, Rockford, IL 61114 Phone: 815-397-6276 Fax: 815-397-2266 | |
Dr. Zeeshan Ahmad, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Mrs. Christine M Pedersen, MSPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6905 E State St, Rockford, IL 61108 Phone: 815-397-4142 Fax: 815-397-4144 | |
Carly Renee Ditto, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 815-540-6299 |