| Susan M Ichelle Fanapour, DO | |
|
120 N. Oak Street, Hinsdale, IL 60521 | |
| (630) 856-9000 | |
| Not Available |
| Full Name | Susan M Ichelle Fanapour |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 120 N. Oak Street, Hinsdale, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568463586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036105985 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
| Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
| Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
| Adventist Glenoaks | Glendale heights, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suburban Radiologists, S.c. | 0648248328 | 24 |
| Entity Name | Suburban Radiologists, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386665396 PECOS PAC ID: 0648248328 Enrollment ID: O20040921000216 |
| Entity Name | Associated Imaging Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493256 PECOS PAC ID: 3870525652 Enrollment ID: O20050831000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Ichelle Fanapour, DO 1200 Harger Rd Ste 408, Oak Brook, IL 60523-1818 Ph: (630) 472-8800 | Susan M Ichelle Fanapour, DO 120 N. Oak Street, Hinsdale, IL 60521 Ph: (630) 856-9000 |
Dr. Judith Ann Operchal, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 120 N Oak St, Hinsdale, IL 60521 Phone: 630-856-9000 | |
Dr. Peter Hrabski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 N Oak St, Hinsdale, IL 60521 Phone: 630-856-9000 | |
Jonathan P. Nolan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 40 S Clay St # Ll10, Hinsdale, IL 60521 Phone: 630-432-6848 | |
Dr. William G. Fischer Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 617 S Washington St, Hinsdale, IL 60521 Phone: 630-325-7814 | |
Dr. George Behrens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 911 N Elm St, Ste 128, Hinsdale, IL 60521 Phone: 630-856-7460 | |
Dr. Daniel Justus, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 120 N Oak St, Hinsdale, IL 60521 Phone: 630-856-9000 | |
Dr. Patrick J Sweeney, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Salt Creek Ln, Amita Health Cancer Institute, Hinsdale, IL 60521 Phone: 630-286-5500 Fax: 630-856-7385 |