Dr Andrea M Bazan, MD | |
1600 West Dempster Street, Suite #120, Park Ridge, IL 60068 | |
(847) 299-7888 | |
(847) 299-7844 |
Full Name | Dr Andrea M Bazan |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 1600 West Dempster Street, Park Ridge, 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 |
---|---|---|---|
1699871293 | NPI | - | NPPES |
036-095548 | Medicaid | IL | |
036095548 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036095548 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036-095548 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geri Care Ltd | 5991794513 | 9 |
Entity Name | Geri Care Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629000732 PECOS PAC ID: 5991794513 Enrollment ID: O20040510000522 |
Entity Name | Andrea Bazan Md Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437357795 PECOS PAC ID: 3870689409 Enrollment ID: O20071012000356 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrea M Bazan, MD 345 West 24th Place, Chicago, IL 60616-2229 Ph: (773) 575-0613 | Dr Andrea M Bazan, MD 1600 West Dempster Street, Suite #120, Park Ridge, IL 60068 Ph: (847) 299-7888 |
Dr. Jason Nathaniel Macklis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 2200, Park Ridge, IL 60068 Phone: 847-268-8577 | |
Mohammed Omer Ahmed Abdalla, Internal Medicine Medicare: Medicare Enrolled Practice Location: 850 Busse Hwy, Park Ridge, IL 60068 Phone: 847-759-4770 | |
Nayana P Dave, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St Ste E592b, Park Ridge, IL 60068 Phone: 847-723-8080 | |
Hyo-jin Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Anand Ramadorai, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068 Phone: 847-294-5160 | |
Dr. Patrick J Murphy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 W Devon, Park Ridge, IL 60068 Phone: 847-696-3176 Fax: 847-696-2678 | |
Taha Alrifai, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1700 Luther Ln Ste 2200, Park Ridge, IL 60068 Phone: 847-268-8200 Fax: 847-318-2905 |