Dr Michael Leclerc, DO | |
3815 Highland Ave, Downers Grove, IL 60515-1500 | |
(630) 275-5900 | |
Not Available |
Full Name | Dr Michael Leclerc |
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Gender | Male |
Speciality | Anesthesiology |
Location | 3815 Highland Ave, Downers Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750947057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | UO6980 (Florida) | Secondary |
207L00000X | Anesthesiology | 036.169288 (Illinois) | Primary |
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
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Dr Michael Leclerc, DO 3815 Highland Ave, Downers Grove, IL 60515-1500 Ph: (630) 275-5900 | Dr Michael Leclerc, DO 3815 Highland Ave, Downers Grove, IL 60515-1500 Ph: (630) 275-5900 |
Zachary John Bastian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Dr. Hemant Panchal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Dr. Sadhana Keni, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3811 Highland Ave, Downers Grove, IL 60515 Phone: 630-852-9300 Fax: 630-852-7773 | |
Dr. Kevin J. Schmidt, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Dr. John Martucci, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Bao T. Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3825 Highland Ave Ste 2m, Downers Grove, IL 60515 Phone: 630-275-5900 | |
Daniel Joseph Costigan, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900 |