Dr Roger A Lichtenbaum, MD | |
836 W Wellington Ave, Chicago, IL 60657-5147 | |
(773) 975-1600 | |
Not Available |
Full Name | Dr Roger A Lichtenbaum |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 23 Years |
Location | 836 W Wellington 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 |
---|---|---|---|
1760569933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 237178 (New York) | Secondary |
207T00000X | Neurological Surgery | 036.120110 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger A Lichtenbaum, MD 29373 Network Pl, Chicago, IL 60673-0001 Ph: (847) 390-5900 | Dr Roger A Lichtenbaum, MD 836 W Wellington Ave, Chicago, IL 60657-5147 Ph: (773) 975-1600 |
Peleg Horowitz, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Stephen Ondra, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Adam Mendel Sonabend Worthalter, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St Ste 21-100, Chicago, IL 60611 Phone: 312-695-0990 | |
Kazuki Sakakura, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 600 S Paulina St, Chicago, IL 60612 Phone: 628-628-6309 | |
Gail L Rosseau, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4501 N Winchester Ave, 2nd Fl, Chicago, IL 60640 Phone: 773-250-0500 Fax: 773-250-0497 | |
Dr. Ravi Nunna, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1650 W Harrison St Ste 466, Chicago, IL 60612 Phone: 312-942-5495 | |
Tord Alden, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2300 N Childrens Plz, Chicago, IL 60614 Phone: 773-880-4000 Fax: 773-281-1576 |