Dr Jong-wook Ban, MD | |
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
(773) 702-1000 | |
Not Available |
Full Name | Dr Jong-wook Ban |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 5841 S Maryland Ave, 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 |
---|---|---|---|
1265467930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00044103 (Washington) | Secondary |
208M00000X | Hospitalist | 036170096 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Sound Homecare & Hospice | Lacey, WA | Home health agency |
Assured Home Health And Hospice | Centralia, WA | Home health agency |
Assured Home Health, Hospice & Home Care | Centralia, WA | Hospice |
Providence Centralia Hospital | Centralia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Dr Jong-wook Ban, MD 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: () - | Dr Jong-wook Ban, MD 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (773) 702-1000 |
Dr. Sarah Elizabeth Rimar, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5000 | |
Phillip Pasquale Santoiemma, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 940, Chicago, IL 60611 Phone: 312-926-8358 Fax: 312-926-9630 | |
Aisha T Amuda, Hospitalist Medicare: Medicare Enrolled Practice Location: 251 E Huron St Ste 16-738, Chicago, IL 60611 Phone: 312-926-5924 Fax: 312-926-6134 | |
Indre Vysniauskaite, Hospitalist Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 | |
Kanithra C Sekaran, Hospitalist Medicare: Medicare Enrolled Practice Location: 675 N Saint Clair St Ste 21-100, Chicago, IL 60611 Phone: 312-695-0990 Fax: 312-472-5270 | |
Sandeep Tummala, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Deyger Jesus Navarrete, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4445 W Irving Park Rd Ste 320, Chicago, IL 60641 Phone: 312-695-7970 Fax: 312-921-0400 |