Dr Michael R Dehaan, MD | |
675 W North Ave, Suite 206, Melrose Park, IL 60160-1634 | |
(708) 327-1540 | |
Not Available |
Full Name | Dr Michael R Dehaan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 39 Years |
Location | 675 W North Ave, Melrose Park, 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 |
---|---|---|---|
1770588287 | NPI | - | NPPES |
0360735792 | Medicaid | IL | |
0001635157 | Other | IL | BCBS PROVIDER NO. |
P00213432 | Other | IL | RRMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036073579 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Associates Of Northern Illinois Ltd | 2163328675 | 93 |
Entity Name | Nephrology Associates Of Northern Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313 |
Entity Name | Willow Springs Surgery Center Ltd |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1467429233 PECOS PAC ID: 5092783712 Enrollment ID: O20040921000585 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael R Dehaan, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Dr Michael R Dehaan, MD 675 W North Ave, Suite 206, Melrose Park, IL 60160-1634 Ph: (708) 327-1540 |
Sung Wun Kim, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 675 W North Ave, Suite 408, Melrose Park, IL 60160 Phone: 708-450-4950 Fax: 708-343-8509 | |
Dr. Raul Villasuso, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 675 W North Ave, Suite 201, Melrose Park, IL 60160 Phone: 708-450-4994 Fax: 708-344-0877 | |
Dr. Lee Jenkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 W North Ave, Suite 408, Melrose Park, IL 60160 Phone: 708-450-4950 Fax: 708-343-8505 |