| Stephen R Nold, | |
|
9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | |
| (708) 684-4557 | |
| (708) 429-0547 |
| Full Name | Stephen R Nold |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 9555 S 52nd Ave, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831128123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036061228 (Illinois) | Primary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Nold, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Stephen R Nold, 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 Ph: (708) 684-4557 |
Dr. Mark Adrian Faasse, MD Urology Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4557 | |
Dr. Ronald James Bonaguro, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5660 W 95th St Ste 4, Oak Lawn, IL 60453 Phone: 708-425-0112 Fax: 708-425-2785 | |
Monica Gabrielle Velasquez, M.D. Urology Medicare: Medicare Enrolled Practice Location: 9555 S 52nd Ave, Oak Lawn, IL 60453 Phone: 708-684-5437 |