| Timothy S Wollner, DO | |
|
2850 W 95th St, Suite 101, Evergreen Park, IL 60805-2735 | |
| (708) 425-9550 | |
| (708) 229-6084 |
| Full Name | Timothy S Wollner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2850 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427088061 | NPI | - | NPPES |
| 036073267 | Medicaid | IL | |
| 080055203 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073267 (Illinois) | Primary |
| Entity Name | Little Company Of Mary Affiliated Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S Wollner, DO 2850 W 95th St, Suite 101, Evergreen Park, IL 60805-2735 Ph: (708) 425-9550 | Timothy S Wollner, DO 2850 W 95th St, Suite 101, Evergreen Park, IL 60805-2735 Ph: (708) 425-9550 |
Lauren Victoria Rasawehr, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St Ste 101, Evergreen Park, IL 60805 Phone: 708-499-2070 | |
Dr. George Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805 Phone: 708-423-8150 Fax: 708-423-8152 | |
John C Elser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 101, Evergreen Park, IL 60805 Phone: 708-425-9550 Fax: 708-229-6084 | |
Richard E Odonnell, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3927 W 95th Street, Evergreen Park, IL 60805 Phone: 708-952-4566 Fax: 708-952-4568 | |
Pauline Wong Hugh, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, Suite 11, Evergreen Park, IL 60805 Phone: 708-425-0200 Fax: 708-425-0208 | |
David P Beckmann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9730 S Western Ave Ste 700, Evergreen Park, IL 60805 Phone: 708-572-7575 Fax: 708-572-7576 |