Individual ProviderNancy BudorickRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S. 1st Ave, Loyola University Medical Center, Maywood, IL 60153-3328(708) 216-9000(631) 444-6919PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Budorick is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1275577033Provider TypeIndividualFull NameBudorick, NancyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/15/2006Last Updated2/5/2016Contact InformationPractice LocationPractice Address2160 S. 1st Ave, Loyola University Medical Center, Maywood, IL 60153-3328Phone(708) 216-9000FaxUnlisted FaxMailing LocationMailing AddressPO Box 1559, Stony Brook, NY 11790-0989Phone(631) 444-6919FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036071437IllinoisProvider IdentifiersIDDescriptionIssuerID1727848DescriptionMedicaidIssuerUnlistedNew YorkID9Y5641DescriptionOtherIssuerEMP B/C B/SNew York