Individual ProviderNathan SchoenradeRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(888) 584-7888PECOS EnrollmentBased on the most recent information from CMS, provider Nathan Schoenrade 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 ID1932959582Provider TypeIndividualFull NameSchoenrade, NathanCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/26/2024Last Updated6/19/2025Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(888) 584-7888FaxUnlisted FaxMailing LocationMailing Address2160 S 1st Ave, Maywood, IL 60153-3328PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense125.083369IllinoisCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125.083369Illinois