Brian A Smart, MD | |
430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | |
(630) 469-9200 | |
Not Available |
Full Name | Brian A Smart |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 31 Years |
Location | 430 Pennsylvania Ave, Glen Ellyn, 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 |
---|---|---|---|
1215997408 | NPI | - | NPPES |
036101688 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 036101688 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dupage Medical Group Ltd | 5496667941 | 1186 |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
---|---|
Brian A Smart, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Brian A Smart, MD 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 Ph: (630) 469-9200 |
Tahmineh Abbasian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Panorea Mathews-kukla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Sarah Choudhry, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave Ste 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 Fax: 630-545-7851 | |
Jayshree Vajaria, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Jennifer Blount, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Dr. Yasir Kazmi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 Pennsylvania Ave, 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 | |
David Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 |