Charles Bradley Schubert, MD | |
1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | |
(708) 453-6800 | |
(708) 453-3235 |
Full Name | Charles Bradley Schubert |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 1950 N Harlem Ave, Elmwood Park, 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 |
---|---|---|---|
1245219641 | NPI | - | NPPES |
36097485 | Medicaid | IL | |
971720 | Other | IL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036097485 (Illinois) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 036097485 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Oak Park Hospital | Oak park, IL | Hospital |
Presence Saints Mary And Elizabeth Medical Center | Chicago, IL | Hospital |
Mt Sinai Hospital Medical Center | Chicago, IL | Hospital |
Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
Rush University Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tiesenga Surgical Associates Sc | 5597750901 | 8 |
Mount Sinai Community Foundation | 5991600405 | 207 |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Entity Name | Tiesenga Surgical Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801876586 PECOS PAC ID: 5597750901 Enrollment ID: O20040420001105 |
Entity Name | Schubert Surgical Services, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629825294 PECOS PAC ID: 8628510005 Enrollment ID: O20240613000897 |
Mailing Address | Practice Location Address |
---|---|
Charles Bradley Schubert, MD 1950 N Harlem Ave, Elmwood Park, IL 60707 Ph: (708) 453-6800 | Charles Bradley Schubert, MD 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 Ph: (708) 453-6800 |
Mrs. Deepa Cherla Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 908-227-4052 | |
Henry Robert Govekar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 | |
Athanasios D. Diniotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235 | |
Dr. Juaquito Mario Jorge, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 | |
Timothy Jordan Stear, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 | |
Alexander Knijnikov, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N. Harlem Ave., Suburban Surgery Center, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985 |