Arielle Port, MD | |
836 W Wellington Ave, Chicago, IL 60657-5147 | |
(773) 296-7054 | |
(773) 296-7818 |
Full Name | Arielle Port |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 836 W Wellington Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295154177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-142959 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Fairfield Medical Center | Lancaster, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chicago Uptown Medical Center | 1456348218 | 3 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Chicago Uptown Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255427704 PECOS PAC ID: 1456348218 Enrollment ID: O20040426001353 |
Mailing Address | Practice Location Address |
---|---|
Arielle Port, MD 29373 Network Place, Chicago, IL 60697-1293 Ph: (847) 390-5900 | Arielle Port, MD 836 W Wellington Ave, Chicago, IL 60657-5147 Ph: (773) 296-7054 |
Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
Dr. Ro Gonsalves, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 773-967-2000 |