| Ryan Fitzgerald, DO | |
|
16615 S Route 59, Plainfield, IL 60586-2921 | |
| (815) 609-6300 | |
| Not Available |
| Full Name | Ryan Fitzgerald |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 16615 S Route 59, Plainfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346689411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036138801 (Illinois) | Primary |
| Entity Name | Bonaventure Medical Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Fitzgerald, DO 16615 S Route 59, Plainfield, IL 60586-2921 Ph: (815) 609-6300 | Ryan Fitzgerald, DO 16615 S Route 59, Plainfield, IL 60586-2921 Ph: (815) 609-6300 |
Teresa Pecherek-rogers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24012 W Renwick Rd, Suite 14, Plainfield, IL 60544 Phone: 815-436-9393 Fax: 815-436-1654 | |
Bob William, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16519 S Rte 59, Plainfield, IL 60586 Phone: 630-646-5020 Fax: 630-646-5025 | |
Shalini Kumar, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16519 S Route 59, Plainfield, IL 60586 Phone: 630-646-5020 Fax: 630-646-5025 | |
Vipuli E Jayesinghe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16615 S Rte 59, Plainfield, IL 60586 Phone: 815-436-7303 | |
Dr. Mohin Tissa Samaraweera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24016 W Main Street, Plainfield, IL 60544 Phone: 815-436-7303 Fax: 815-609-7980 | |
Dr. Vinayak Dongre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St Ste 100, Plainfield, IL 60585 Phone: 815-731-9000 Fax: 815-731-9001 |