Dr Michael G Larry, M D | |
351 Delnor Dr Ste 204, Geneva, IL 60134-4226 | |
(630) 653-4240 | |
(630) 938-9190 |
Full Name | Dr Michael G Larry |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 35 Years |
Location | 351 Delnor Dr Ste 204, Geneva, 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 |
---|---|---|---|
1164433348 | NPI | - | NPPES |
036082779 | Medicaid | IL | |
P01185369 | Other | IL | MEDICARE RAILROAD PTAN (INDIVIDUAL) |
206147215 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
CA4748 | Other | IL | MEDICARE RAILROAD PTAN (GROUP) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-082779 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delnor Community Hospital | Geneva, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Kishwaukee Community Hospital | Dekalb, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael G Larry, M D 351 Delnor Dr Ste 204, Geneva, IL 60134-4226 Ph: (630) 653-4240 | Dr Michael G Larry, M D 351 Delnor Dr Ste 204, Geneva, IL 60134-4226 Ph: (630) 653-4240 |
Dr. Donald Rahim Adeli, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-653-4240 Fax: 630-938-9190 | |
Dr. Deborah L Hay, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 351 Delnor Dr, Geneva, IL 60134 Phone: 630-208-0784 Fax: 630-208-0981 | |
Phyllis C Chang, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-653-4240 Fax: 630-938-9190 | |
Heather Anaya, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 302 Randall Rd, Geneva, IL 60134 Phone: 630-938-8300 | |
Dr. Janeta Dimante, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 302 Randall Rd., Suite 305, Geneva, IL 60134 Phone: 630-262-2751 Fax: 630-262-2755 | |
Aprilee Dawn Velez Gostomski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 351 Delnor Dr Ste 204, Geneva, IL 60134 Phone: 630-653-4240 Fax: 630-938-9190 |