Bruce Summerville, MD | |
350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 | |
(847) 336-3335 | |
Not Available |
Full Name | Bruce Summerville |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 34 Years |
Location | 350 S Greenleaf St, Gurnee, 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 |
---|---|---|---|
1164474979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036-088414 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspire Home Healthcare, Llc | Morton grove, IL | Home health agency |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Vista Medical Center East | Waukegan, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Bone And Joint Institute Llc | 6002814878 | 520 |
Entity Name | Illinois Bone And Joint Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
---|---|
Bruce Summerville, MD 900 Rand Rd Ste 300, Attn: Raquel Leon, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Bruce Summerville, MD 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 Ph: (847) 336-3335 |
Gerard Martin Goshgarian, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 105 N Greenleaf St, Gurnee, IL 60031 Phone: 847-244-4343 Fax: 847-244-8111 | |
Roger Barrett Collins, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 N Greenleaf St, Gurnee, IL 60031 Phone: 847-623-3090 Fax: 847-623-9620 | |
Tomas Nemickas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St, Suite 405, Gurnee, IL 60031 Phone: 847-336-3335 | |
John Gottfried Mayer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 N Greenleaf St, Gurnee, IL 60031 Phone: 847-623-3090 Fax: 847-623-9620 | |
Theodore Schoenfeldt, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 350 S Greenleaf St Ste 405, Gurnee, IL 60031 Phone: 847-336-3335 Fax: 847-336-3249 | |
Edward Logue, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St, Suite 405, Gurnee, IL 60031 Phone: 847-336-3335 |