| Stefan Ryan Erickson, | |
|
355 Ridge Ave, Evanston, IL 60202-3328 | |
| (847) 316-4000 | |
| Not Available |
| Full Name | Stefan Ryan Erickson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 5 Years |
| Location | 355 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1104445915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A188524 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 77 |
| Entity Name | Advanced Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220302002290 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan Ryan Erickson, 1130 S Michigan Ave Apt 2709, Chicago, IL 60605-2321 Ph: (510) 710-3555 | Stefan Ryan Erickson, 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-4000 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 |