Marisa Nicole Ilag, MD in Chicago, IL - Medicare Radiology

Marisa Nicole Ilag, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chicago, Illinois. Her current practice location is 251 E Huron St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 926-2000.

Marisa Nicole Ilag is licensed to practice in Illinois (license number 125079440) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093465262.

Contact Information

	Marisa Nicole Ilag, MD
	251 E Huron St, Chicago, IL 60611-3055
	(312) 926-2000
	Not Available

Physician's Profile

Full Name	Marisa Nicole Ilag
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	251 E Huron St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093465262
Provider Enumeration Date: 03/28/2022
Last Update Date: 06/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2567821960
Enrollment ID: I20230703001516

Medical Identifiers

Medical identifiers for Marisa Nicole Ilag such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093465262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	125079440 (Illinois)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Nicole Ilag is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Marisa Nicole Ilag, MD 251 E Huron St, Chicago, IL 60611-3055 Ph: () -	Marisa Nicole Ilag, MD 251 E Huron St, Chicago, IL 60611-3055 Ph: (312) 926-2000

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Radiology Doctors in Chicago, IL

Dr. Benjamin Jordan Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-774-8000
Lauren Elizabeth Arsenault, MD Radiology Medicare: Medicare Enrolled Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230
Dr. Amar Pravin Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 461, Chicago, IL 60612 Phone: 312-942-5781
Dr. Naveen Prabhakar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-7820 Fax: 773-296-7821

Marisa Nicole Ilag, MD - Medicare Radiology in Chicago, IL