| Radius Health | |
|
850 W Irving Park Rd Ste 525 Chicago IL 60613-3077 | |
| (773) 327-1600 | |
| (773) 327-6622 |
| Full Name | Radius Health |
|---|---|
| Speciality | Family Medicine |
| Location | 850 W Irving Park Rd, Chicago, Illinois |
| Authorized Official Name and Position | Arminius Simmons (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7733271600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radius Health 3023 N Clark St # 200 Ste 525 Chicago IL 60657-5200 Ph: (773) 327-1600 | Radius Health 850 W Irving Park Rd Ste 525 Chicago IL 60613-3077 Ph: (773) 327-1600 |
| NPI Number | 1073666061 |
|---|---|
| Provider Enumeration Date | 01/21/2007 |
| Last Update Date | 08/12/2008 |
| Medicare PECOS PAC ID | 7012010242 |
|---|---|
| Medicare Enrollment ID | O20070308000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073666061 | NPI | - | NPPES |
| 036087460 | Other | IL | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 036087460 (Illinois) | Primary |
| Provider Name | Gary Gerard Bucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770664856 PECOS PAC ID: 6608810247 Enrollment ID: I20050615000222 |
| Provider Name | Gregory S Rauch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912921297 PECOS PAC ID: 0345285292 Enrollment ID: I20050622000470 |
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