Dexter Charles Graves, MD | |
5841 S Maryland Ave # Mc5068, Chicago, IL 60637-1443 | |
(773) 795-9758 | |
(773) 702-3135 |
Full Name | Dexter Charles Graves |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 6 Years |
Location | 5841 S Maryland Ave # Mc5068, Chicago, 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 |
---|---|---|---|
1972097871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125.072074 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Piedmont Newton Hospital | Covington, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Walker Lake Emergency Group Pc | 0840531919 | 25 |
The Bortolazzo Group, Llc | 3476554320 | 72 |
Angelfish Emergency Physicians Llc | 7517282817 | 12 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Entity Name | Angelfish Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407259500 PECOS PAC ID: 7517282817 Enrollment ID: O20150209000684 |
Entity Name | Walker Lake Emergency Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
Mailing Address | Practice Location Address |
---|---|
Dexter Charles Graves, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150 | Dexter Charles Graves, MD 5841 S Maryland Ave # Mc5068, Chicago, IL 60637-1443 Ph: (773) 795-9758 |
Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
Dr. Ro Gonsalves, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 773-967-2000 |