Dr Sumanas Wanant Jordan, MD | |
675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 | |
(312) 695-6022 | |
(312) 695-5672 |
Full Name | Dr Sumanas Wanant Jordan |
---|---|
Gender | Female |
Speciality | Plastic And Reconstructive Surgery |
Experience | 14 Years |
Location | 675 N Saint Clair St Ste 19-250, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225349350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 036140399 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Sumanas Wanant Jordan, MD 675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 Ph: (312) 695-6022 | Dr Sumanas Wanant Jordan, MD 675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 Ph: (312) 695-6022 |
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 |