| Patricia M O'donnell, DPM | |
|
885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | |
| (630) 225-2663 | |
| (630) 225-2399 |
| Full Name | Patricia M O'donnell |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 30 Years |
| Location | 885 Roosevelt Rd, Glen Ellyn, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013047190 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| 016004785 | Other | IL | MEDICAID |
| F400181111 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0016004785 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Provider Name | Central Dupage Physician Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia M O'donnell, DPM 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 225-2663 | Patricia M O'donnell, DPM 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 225-2663 |
Ocarroll& Associates Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 22w654 Butterfield Rd, Glen Ellyn, IL 60137 Phone: 630-790-4442 Fax: 630-790-9472 | |
Dr. Daniel Thomas O Carroll, DPM, DABPS Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22w654 Butterfield Rd, Glen Ellyn, IL 60137 Phone: 630-790-4442 Fax: 630-790-9472 | |
Dr. Diana Tabor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137 Phone: 630-510-6929 Fax: 630-355-3257 |