Dr Edward Ming-luan Gong, MD | |
225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | |
(312) 227-6340 | |
(312) 227-9412 |
Full Name | Dr Edward Ming-luan Gong |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 225 E Chicago Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457675233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 236351 (Massachusetts) | Primary |
Entity Name | Childrens Surgical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356394217 PECOS PAC ID: 6406747179 Enrollment ID: O20040323000088 |
Mailing Address | Practice Location Address |
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Dr Edward Ming-luan Gong, MD 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 Ph: (312) 227-6340 | Dr Edward Ming-luan Gong, MD 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 Ph: (312) 227-6340 |
Dr. Itay Sagy, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 5758 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1860 | |
Dr. Dylan Samuel Isaacson, MD, MPH Urology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-694-6083 | |
Fadi A Habib, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5600 W Addison St, Suite 305, Chicago, IL 60634 Phone: 773-725-0760 Fax: 773-725-3499 | |
Dr. Solomon Hayon, MD Urology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 | |
Dr. Michael Ryan Abern, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 820 S Wood St # Mc955, Suite 515, Chicago, IL 60612 Phone: 312-996-9330 | |
Riccardo Autorino, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 970, Chicago, IL 60612 Phone: 312-563-3447 | |
Samuel John Ohlander, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1009 S Wood St, Chicago, IL 60612 Phone: 312-996-2779 |