Individual ProviderJohn FuRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(708) 216-9000PECOS EnrollmentBased on the most recent information from CMS, provider John Fu 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 ID1407218654Provider TypeIndividualFull NameFu, JohnGenderMaleSole ProprietorNoEnumeration Date3/27/2016Last Updated5/19/2022Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-9000FaxUnlisted FaxMailing LocationMailing Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-9000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036.156306IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer