Dr George Bardouniotis, MD | |
2210 Dean St, Suite B, St Charles, IL 60175-1066 | |
(630) 377-5300 | |
(630) 377-6721 |
Full Name | Dr George Bardouniotis |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 2210 Dean St, St Charles, 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 |
---|---|---|---|
1194724088 | NPI | - | NPPES |
036091313 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036-091313 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Sherman Hospital | Elgin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Dupage Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
---|---|
Dr George Bardouniotis, MD 1860 Paysphere Cir, Chicago, IL 60674-1066 Ph: (630) 469-2000 | Dr George Bardouniotis, MD 2210 Dean St, Suite B, St Charles, IL 60175-1066 Ph: (630) 377-5300 |
Dr. Timothy Michael Bradley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-659-3502 | |
Dr. John H White, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2210 Dean St, Suite B, St Charles, IL 60175 Phone: 630-377-5300 Fax: 630-377-6721 |