Dr Mitchell Frank Grasseschi, MD | |
2211 N Oak Park Ave, Chicago, IL 60707-3351 | |
(773) 622-5400 | |
(773) 622-5838 |
Full Name | Dr Mitchell Frank Grasseschi |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 2211 N Oak Park Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801863097 | NPI | - | NPPES |
0360478951 | Medicaid | IL | |
21608613 | Other | IL | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 036047895 (Illinois) | Primary |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871930693 PECOS PAC ID: 9133031933 Enrollment ID: O20131009001351 |
Mailing Address | Practice Location Address |
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Dr Mitchell Frank Grasseschi, MD Po Box 8500, Lockbox 7642, Philadelphia, PA 19178-7642 Ph: (813) 281-8115 | Dr Mitchell Frank Grasseschi, MD 2211 N Oak Park Ave, Chicago, IL 60707-3351 Ph: (773) 622-5400 |
Parit A Patel, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 737 N Michigan Ave Ste 1820, Chicago, IL 60611 Phone: 312-819-5338 Fax: 312-819-5337 | |
Akira Yamada, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Division Of Plastic Surgery, Chicago, IL 60611 Phone: 312-227-6258 Fax: 312-227-9408 | |
Lyndsay Ann Kandi, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-702-6302 Fax: 773-702-1634 | |
Dr. Diane L Gerber, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Pearson St, #2803, Chicago, IL 60611 Phone: 312-280-8707 | |
Stephanie Bond, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-795-1240 | |
Alexandra Polovneff, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S. Maryland Ave., Plastic Surgery Department, Chicago, IL 60637 Phone: 888-824-0200 | |
Emily Jean Miller, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave # Mc2026, Chicago, IL 60637 Phone: 773-702-6024 Fax: 773-702-1161 |