Dr Daphne Tessalee, MD | |
1325 Community Memorial Dr, La Grange, IL 60525-2659 | |
(708) 245-8900 | |
(708) 245-5604 |
Full Name | Dr Daphne Tessalee |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 1325 Community Memorial Dr, La Grange, 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 |
---|---|---|---|
1124078357 | NPI | - | NPPES |
036094766 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36094766 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Midwest Health | 2769790401 | 12 |
Entity Name | Adventist Midwest Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912353822 PECOS PAC ID: 2769790401 Enrollment ID: O20160606001457 |
Mailing Address | Practice Location Address |
---|---|
Dr Daphne Tessalee, MD 1325 Community Memorial Dr, La Grange, IL 60525-2659 Ph: (708) 245-8900 | Dr Daphne Tessalee, MD 1325 Community Memorial Dr, La Grange, IL 60525-2659 Ph: (708) 245-8900 |
Dr. Leo Koenig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Community Memorial Dr, La Grange, IL 60525 Phone: 708-245-8900 Fax: 708-245-5604 | |
Sarah Kay Welch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Community Memorial Dr, La Grange, IL 60525 Phone: 708-245-8900 Fax: 708-245-5604 | |
Katarzyna Helena Rogala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Community Memorial Dr, La Grange, IL 60525 Phone: 708-245-8900 | |
Dr. Clodagh Therese Ryan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St Ste 1, La Grange, IL 60525 Phone: 708-571-2272 Fax: 281-667-0104 | |
Dr. Andrea Ocampo Colada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1323 Memorial Drive, Ste 214, La Grange, IL 60525 Phone: 708-245-8900 Fax: 708-245-5604 | |
Vince Bartolomeo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 W 47th St, La Grange, IL 60525 Phone: 708-579-9375 Fax: 708-579-9378 |