| Kevin Michael Widdis, PA-C | |
|
2500 W Higgins Rd Ste 1165, Hoffman Estates, IL 60169-2050 | |
| (847) 289-5727 | |
| Not Available |
| Full Name | Kevin Michael Widdis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2500 W Higgins Rd Ste 1165, Hoffman Estates, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407512056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.008551 (Illinois) | Primary |
| Entity Name | Radial Health SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215954185 PECOS PAC ID: 4385537299 Enrollment ID: O20040204001001 |
| Entity Name | Applebaum Physiatry PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20230412000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Michael Widdis, PA-C 2500 W Higgins Rd Ste 1165, Hoffman Estates, IL 60169-2050 Ph: (847) 289-5727 | Kevin Michael Widdis, PA-C 2500 W Higgins Rd Ste 1165, Hoffman Estates, IL 60169-2050 Ph: (847) 289-5727 |
Michael Frederick Graf, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5810 Providence Dr, Hoffman Estates, IL 60192 Phone: 847-488-0941 |
Talia Sivan Gordon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Higgins Rd Ste 1040, Hoffman Estates, IL 60169 Phone: 847-884-8096 Fax: 847-490-0978 |
Jennifer Oshea, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1555 Barrington Rd, Dob 3 Suite4100, Hoffman Estates, IL 60169 Phone: 847-781-1789 Fax: 847-781-9973 |
Michael D Render, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192 Phone: 224-484-0183 Fax: 224-699-9301 |
Meghan Valleau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4847 Hoffman Blvd, Hoffman Estates, IL 60192 Phone: 847-931-1813 Fax: 847-931-1861 |
Aleena Pinarkyil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169 Phone: 847-843-7030 Fax: 847-843-2430 |
Mrs. Mercedes Isabel Jacks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 Barrington Rd Ste 501, Hoffman Estates, IL 60169 Phone: 847-490-8900 |