Benjamin Chaney, | |
25 N Winfield Rd, Winfield, IL 60190-1379 | |
(630) 933-6675 | |
(630) 933-2614 |
Full Name | Benjamin Chaney |
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Gender | Male |
Speciality | Anesthesiology |
Location | 25 N Winfield Rd, Winfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871019182 | NPI | - | NPPES |
87069 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35134464 (Ohio) | Secondary |
208600000X | Surgery | NA (California) | Secondary |
207L00000X | Anesthesiology | 036165987 (Illinois) | Primary |
Entity Name | Usa Vein Clinics Of Cleveland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992204077 PECOS PAC ID: 0143583716 Enrollment ID: O20180412000946 |
Mailing Address | Practice Location Address |
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Benjamin Chaney, 304 Wainwright Dr, Northbrook, IL 60062-1900 Ph: (847) 593-8460 | Benjamin Chaney, 25 N Winfield Rd, Winfield, IL 60190-1379 Ph: (630) 933-6675 |
Dr. Kirk James Papa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614 | |
Dr. Watson W Fung, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: On025 Winfield Rd., Winfield, IL 60190 Phone: 630-933-1600 | |
Summer Williams, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614 | |
John T Samuels, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 Winfield Rd., Winfield, IL 60190 Phone: 630-933-1600 | |
John Gordon Prout, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-1600 | |
Dr. Alfredo Ceballos Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 N. Winfield Rd., Dept Of Anesthesia, Winfield, IL 60190 Phone: 630-933-6675 | |
Dr. Michael Perconti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: On025 Winfield Rd., Winfield, IL 60190 Phone: 630-933-1600 |