| Susanna J Aviles, APRN | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (888) 584-7888 | |
| Not Available |
| Full Name | Susanna J Aviles |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Sleep Medicine |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568220234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS1201X | Family Medicine - Sleep Medicine | 209.029073 (Illinois) | Primary |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna J Aviles, APRN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Susanna J Aviles, APRN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
Raymond Loza, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Eva Bading, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (1211 Roosevelt Rd. ), Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-5201 | |
Michael Gregory Mank, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5446 | |
Kenneth Kin Kan Chan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 Phone: 708-216-6006 Fax: 708-216-2683 | |
Dr. Jessica Carrie Dingman Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Sudheer Earanky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533 | |
Dr. Amy Hagan Buchanan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1211 W Roosevelt Rd, Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-7915 |