Dr Ryan Sullivan, MD | |
1501 S California Ave, Chicago, IL 60608-1732 | |
(773) 257-4756 | |
Not Available |
Full Name | Dr Ryan Sullivan |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1501 S California 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 |
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1376562694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 558 (Wisconsin) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036-113954 (Illinois) | Primary |
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 | Mount Sinai Community Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Entity Name | Cep America Illinois Intensivists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821641499 PECOS PAC ID: 0345535449 Enrollment ID: O20160829002157 |
Mailing Address | Practice Location Address |
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Dr Ryan Sullivan, MD 3537 Paysphere Cir, Chicago, IL 60674-0035 Ph: (708) 786-2900 | Dr Ryan Sullivan, MD 1501 S California Ave, Chicago, IL 60608-1732 Ph: (773) 257-4756 |
Ankit Bharat, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 650, Chicago, IL 60611 Phone: 312-926-7628 | |
Prof. Cemil Selim Isbir, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 215 W Lake St Apt 1308, Chicago, IL 60606 Phone: 310-623-0850 | |
Dr. Marshall David Goldin, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1725 W Harrison St, Suite 1156, Chicago, IL 60612 Phone: 312-563-2763 | |
Tae H Song, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Michael C Monge, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave # 22, Cardiovascular Surgery, Chicago, IL 60611 Phone: 312-227-4240 Fax: 312-227-9643 | |
Miss Keiko Okumura, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1635 West Congress Parkway, Chicago, IL 60612 Phone: 312-943-6370 Fax: 312-943-6052 | |
Hidefumi Nishida, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 |