Individual ProviderVirginia McdonaldRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S First Ave, (Mcgaw Bldg, Rm 47), Maywood, IL 60153(708) 216-5221PECOS EnrollmentBased on the most recent information from CMS, provider Virginia Mcdonald does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1851378723Provider TypeIndividualFull NameMcdonald, VirginiaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/30/2005Last Updated1/6/2010Contact InformationPractice LocationPractice Address2160 S First Ave, (Mcgaw Bldg, Rm 47), Maywood, IL 60153Phone(708) 216-5221Fax(708) 216-0899Mailing LocationMailing Address2160 S First Ave, (Mcgaw Bldg, Rm 47), Maywood, IL 60153Phone(708) 216-5221Fax(708) 216-0899Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense36074165IllinoisProvider IdentifiersIDDescriptionIssuerID36074165DescriptionMedicaidIssuerUnlistedIllinois