| Timothy Warren Damrow, DO | |
|
395 N Locust St, Manteno, IL 60950 | |
| (815) 468-6870 | |
| (815) 468-8304 |
| Full Name | Timothy Warren Damrow |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 395 N Locust St, Manteno, 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 |
|---|---|---|---|
| 1225418981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036144709 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| R.m.c. Home Health Care | Peotone, IL | Home health agency |
| Providence At Home | Tinley park, IL | Home health agency |
| Hospice Of Kankakee Valley Inc | Bourbonnais, IL | Hospice |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Health System | 3274434717 | 157 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Warren Damrow, DO 395 N Locust St, Manteno, IL 60950-1222 Ph: (815) 468-6870 | Timothy Warren Damrow, DO 395 N Locust St, Manteno, IL 60950 Ph: (815) 468-6870 |
Harpreet Kaur Virk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 395 N Locust St, Manteno, IL 60950 Phone: 815-468-6870 Fax: 815-468-8304 | |
Mrs. Rhodora A Sy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 501 S Locust St, Manteno, IL 60950 Phone: 815-468-6737 Fax: 815-468-2648 | |
Jenna M Cella, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 N Locust St, Manteno, IL 60950 Phone: 815-468-6870 Fax: 815-468-6864 |