Bradford G Peterson, MD | |
12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 | |
(708) 923-5700 | |
(708) 923-8848 |
Full Name | Bradford G Peterson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 32 Years |
Location | 12251 S 80th Ave, Palos Heights, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760452775 | NPI | - | NPPES |
036093195 | Medicaid | IL | |
050046667 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036093195 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Palos Community Hospital | Palos heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Palos Anesthesia Associates, S.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659345791 PECOS PAC ID: 2466485602 Enrollment ID: O20050916000884 |
Mailing Address | Practice Location Address |
---|---|
Bradford G Peterson, MD Po Box 239d, Park Ridge, IL 60068-8018 Ph: (847) 759-1560 | Bradford G Peterson, MD 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 Ph: (708) 923-5700 |
Matthew Scott Kominsky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4000 Fax: 708-923-8848 | |
Michael J Bautista, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 | |
Mark G Ruttle, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 | |
Dr. Yun Kipnis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 350, Palos Heights, IL 60463 Phone: 708-923-3936 Fax: 708-923-8848 | |
Jerry Y Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 | |
Ryan Lustenberger, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4000 | |
Michael J Sobczak, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 |