Brian M Fagan (NPI# 1831280494, PAC ID# 3274635487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1831280494 |
| PAC ID by PECOS | 3274635487 |
| Professional Enrollment ID | I20070219000343 |
| Full Name | Brian M Fagan |
| Organization Legal Name | JOLIET RADIOLOGICAL SERVICE CORP |
| Address |
333 Madison St Joliet IL 60435-8200 |
| Phone Number | 8157417200 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961460654 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140007 | PRESENCE SAINT JOSEPH MEDICAL CENTER |
| 140088 | THE UNIVERSITY OF CHICAGO MEDICAL CENTER |
| 140101 | MORRIS HOSPITAL & HEALTHCARE CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 333 Madison St, Joliet, IL 60435-8200 | 8157417200 | JOLIET RADIOLOGICAL SERVICE CORP |
| Organization Legal Name | JOLIET RADIOLOGICAL SERVICE CORP |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry K Kushner | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Mickey B Jester | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Andrew J Johanek | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Edward Bruno | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Sasan Payvar | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Michael G Arthofer | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Alex C Wu | Diagnostic Radiology | Joliet Radiological Service Corp | 333 Madison St, Joliet, IL 60435-8200 |
| Street Address |
333 MADISON ST |
| City | JOLIET |
| State | IL |
| Zip | 60435-8200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madison Sample Jr. | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Henry J Fuentes | Orthopedic Surgery | Parkview Orthopaedic Group S C | 333 Madison St, Joliet, IL 60435-8233 |
| Shilpa H Thakkar | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Pavana Radhakrishna | Internal Medicine | Presence Healthcare Services | 333 Madison St, Joliet, IL 60435-8200 |
| Michael E Donahue | Emergency Medicine | Cepamerica Illinois LLP | 333 Madison St, Joliet, IL 60435-8200 |
| Kenneth C Leeberg | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Tiffany M Richardson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| James A Gramm | Cardiac Surgery | Cardiac Surgery Associates Sc | 333 Madison St, Joliet, IL 60435-8200 |
| Katherine M Schroeder | Emergency Medicine | Cepamerica Illinois LLP | 333 Madison St, Joliet, IL 60435-8200 |
| Steven Jiotis | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankur Sharma | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Naila I Ahmed | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Zdzislawa T Majka-kravets | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Aaron Gurfinchel | Internal Medicine | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Mahwesh Javed | Family Medicine | Presence Healthcare Services | 3100 Theodore St, Suite 203, Joliet, IL 60435-0605 |
| Preeti R Nagarkatte | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Muneeb Qadri | Family Medicine | Presence Healthcare Services | 3100 Theodore St, Suite 203, Joliet, IL 60435-0605 |
| Azeem M Ahsan | Family Medicine | 1640 Willow Circle Dr, Suite 100, Crest Hill, IL 60435-0960 | |
| Joseph A Moreno | Optometry | Rosin Optical Co Inc | 2820 Plainfield Rd, Joliet, IL 60435-1167 |
| Michael T Rager | Chiropractic | 2405 Essington Rd J, Joliet, IL 60435-1225 | |
| Find all physicians in zip 60435 | |||
| City | JOLIET |
| Zip Code | 60435 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | JOLIET + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brian M Fagan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.