| William G Davenport, MD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 269-0000 | |
| Not Available |
| Full Name | William G Davenport |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 2160 S 1st Ave, Maywood, 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 |
|---|---|---|---|
| 1790751691 | NPI | - | NPPES |
| 2091291 | Medicaid | MA | |
| J28564 | Other | MA | BCBS |
| 469667 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 222685 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | 036131401 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Genesis Medical Center, Aledo | Aledo, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Medical Center, Aledo | 7315190436 | 12 |
| 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 |
| Entity Name | Valley West Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184705931 PECOS PAC ID: 6507769957 Enrollment ID: O20070515000333 |
| Entity Name | Genesis Medical Center, Aledo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225380967 PECOS PAC ID: 7315190436 Enrollment ID: O20130405000438 |
| Entity Name | App Of Illinois Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Mailing Address | Practice Location Address |
|---|---|
| William G Davenport, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 269-0000 | William G Davenport, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 269-0000 |
Matthew Swayze, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Trac Xuan Nghiem, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Ems Bldg., Rm. 2700, Maywood, IL 60153 Phone: 708-327-2700 Fax: 708-327-3474 | |
Robert Riggs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, 101-1740, Loyola University Medical Center, Maywood, IL 60153 Phone: 708-327-2549 Fax: 708-327-2548 | |
Jeremy M Hoenig, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2160 S 1st Ave, Ems Building, Section Of Emergency Medicine, Maywood, IL 60153 Phone: 708-327-2549 Fax: 708-327-2548 | |
Sallyan Green, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Dr. Theresa Nguyen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8785 | |
Dr. Brian David Barbas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-2549 Fax: 708-327-2548 |