Dr John Joseph Tackett, MD | |
1555 Barrington Rd Lowr Level, Hoffman Estates, IL 60169-1019 | |
(224) 299-4222 | |
Not Available |
Full Name | Dr John Joseph Tackett |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 1555 Barrington Rd Lowr Level, Hoffman Estates, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346532124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 303824 (New York) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 036166149 (Illinois) | Primary |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770823551 PECOS PAC ID: 2264691070 Enrollment ID: O20131220001018 |
Mailing Address | Practice Location Address |
---|---|
Dr John Joseph Tackett, MD 1555 Barrington Rd Lowr Level, Hoffman Estates, IL 60169-1019 Ph: (224) 299-4222 | Dr John Joseph Tackett, MD 1555 Barrington Rd Lowr Level, Hoffman Estates, IL 60169-1019 Ph: (224) 299-4222 |
Jateen C Patel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1555 Barrington Rd, Doctors Bldg 1, Suite 415, Hoffman Estates, IL 60169 Phone: 847-490-4222 Fax: 847-490-4225 | |
Dr. Michael Fentriss Wilson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1555 Barrington Rd, Suite 2300b, Hoffman Estates, IL 60169 Phone: 847-843-0726 | |
Philip N Bushnick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1786 Moon Lake Blvd, Suite 205, Hoffman Estates, IL 60194 Phone: 847-885-1200 Fax: 847-885-1212 | |
Dr. Stephen Tad Grabowski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169 Phone: 630-790-1700 | |
Brian Gulack, Surgery Medicare: Medicare Enrolled Practice Location: 1555 Barrington Rd, Hoffman Estates, IL 60169 Phone: 224-299-4222 | |
Dr. Helen Nikolaevna Klemine, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169 Phone: 847-843-7030 Fax: 847-843-2430 |