Dr Hadyn Michael Hollister, MD | |
600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806 | |
(312) 942-5495 | |
(312) 942-5727 |
Full Name | Dr Hadyn Michael Hollister |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 600 S Paulina St, 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 |
---|---|---|---|
1588957542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4777-320 (Wisconsin) | Secondary |
208600000X | Surgery | 125059402 (Illinois) | Primary |
2086S0102X | Surgery - Surgical Critical Care | 036-140738 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Javon Bea Hospital | Rockford, IL | Hospital |
John H Stroger Jr Hospital | Chicago, IL | Hospital |
Cgh Medical Center | Sterling, IL | Hospital |
Mercy Harvard Hospital | Harvard, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rockford Health Physicians | 2567374036 | 304 |
Cook County | 2860398088 | 645 |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Cook County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
---|---|
Dr Hadyn Michael Hollister, MD 1647 Portsmouth Ave, First Floor, Westchester, IL 60154-4476 Ph: (815) 768-7395 | Dr Hadyn Michael Hollister, MD 600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806 Ph: (312) 942-5495 |
Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500 | |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 |