Catherine Wysocka, | |
820 E Terra Cotta Ave Ste 226, Crystal Lake, IL 60014-3646 | |
(815) 455-2100 | |
(815) 455-3284 |
Full Name | Catherine Wysocka |
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Gender | Female |
Speciality | Pediatrics |
Location | 820 E Terra Cotta Ave Ste 226, Crystal Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184156903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME144827 (Florida) | Secondary |
208000000X | Pediatrics | 036.161908 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
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Catherine Wysocka, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Catherine Wysocka, 820 E Terra Cotta Ave Ste 226, Crystal Lake, IL 60014-3646 Ph: (815) 455-2100 |
Dr. Ubaidur R Papa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Coventry Ln, Ste 206, Crystal Lake, IL 60014 Phone: 815-455-1266 Fax: 815-455-0789 | |
Dr. Karolina Stack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 525 E Congress Pkwy Ste 220, Crystal Lake, IL 60014 Phone: 815-459-6780 Fax: 815-459-1648 | |
Dr. Barry A Altshuler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014 Phone: 815-455-2100 Fax: 815-455-3284 | |
Lisa B Messinger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104 | |
Dr. Laura M Buthod, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104 | |
Dr. George B. Gancayco, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 781 Mchenry Ave, Crystal Lake, IL 60014 Phone: 815-459-2200 Fax: 815-444-9566 |