Shayna Friedman, | |
6201 Roosevelt Rd, Berwyn, IL 60402-1108 | |
(708) 386-0845 | |
(708) 386-8472 |
Full Name | Shayna Friedman |
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Gender | Female |
Speciality | Pediatrics |
Location | 6201 Roosevelt Rd, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548764301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036156324 (Illinois) | Primary |
Entity Name | Pcc Community Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
Mailing Address | Practice Location Address |
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Shayna Friedman, 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845 | Shayna Friedman, 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845 |
Lori J Weiss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6840 Windsor Ave, Berwyn, IL 60402 Phone: 708-484-0042 Fax: 708-749-5489 | |
Punya Narain, Pediatrics Medicare: Medicare Enrolled Practice Location: 6840 W Windsor Ave, Berwyn, IL 60402 Phone: 352-217-3231 | |
Dr. Pablo E Chagoya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6545 Cermak Rd, Berwyn, IL 60402 Phone: 708-788-0077 | |
Reema Mohammed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave Ste 201, Berwyn, IL 60402 Phone: 708-795-5502 | |
Joaquin Lopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6238 Cermak Rd, Berwyn, IL 60402 Phone: 708-795-5020 Fax: 708-795-5023 | |
Damayanti S Hathiwala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave, Suite 201, Berwyn, IL 60402 Phone: 708-795-5502 Fax: 708-795-5516 | |
Dr. Janardhan Mydam, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 |