Carolyn S Mcirvin, DO | |
17495 La Grange Rd, Tinley Park, IL 60487-7581 | |
(708) 364-3163 | |
(708) 226-1969 |
Full Name | Carolyn S Mcirvin |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 17495 La Grange Rd, Tinley Park, 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 |
---|---|---|---|
1962636241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036129397 (Illinois) | Primary |
207P00000X | Emergency Medicine | 125-055999 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cepamerica Illinois Llp | 3274793633 | 417 |
Dupage Medical Group Ltd | 5496667941 | 1186 |
Entity Name | Dupage Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
---|---|
Carolyn S Mcirvin, DO Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Carolyn S Mcirvin, DO 17495 La Grange Rd, Tinley Park, IL 60487-7581 Ph: (708) 364-3163 |
Blanca E Herrera, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969 | |
Nicole R Mott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969 | |
Walid Kandah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6701 159th St, Tinley Park, IL 60477 Phone: 708-429-3300 | |
Dr. Mazen Diab, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 630-873-8875 | |
Dr. Melinda Ann Tobin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969 | |
Melissa M Nelson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6701 159th St, Tinley Park, IL 60477 Phone: 708-429-3300 | |
Julie Patacsil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-406-3243 Fax: 708-226-7161 |