| Anthony Thomas Coluzzi, PA-C | |
|
1952 Mcdowell Rd, Suite 305, Naperville, IL 60563 | |
| (630) 689-1022 | |
| Not Available |
| Full Name | Anthony Thomas Coluzzi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1952 Mcdowell Rd, Naperville, 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 |
|---|---|---|---|
| 1457068405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085009318 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Behavioral Health Services Llc | 0941463699 | 30 |
| Entity Name | Advanced Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447545579 PECOS PAC ID: 0941463699 Enrollment ID: O20120517000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Thomas Coluzzi, PA-C 1952 Mcdowell Rd, Suite 305, Naperville, IL 60563 Ph: (630) 689-1022 | Anthony Thomas Coluzzi, PA-C 1952 Mcdowell Rd, Suite 305, Naperville, IL 60563 Ph: (630) 689-1022 |
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