Trevor Michael Bullock, DO | |
920 Milwaukee Ave, Lincolnshire, IL 60069 | |
(847) 866-7846 | |
(224) 251-4568 |
Full Name | Trevor Michael Bullock |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 16 Years |
Location | 920 Milwaukee Ave, Lincolnshire, 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 |
---|---|---|---|
1881857282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036141777 (Illinois) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 036141777 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Trevor Michael Bullock, DO 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 Ph: (847) 866-7846 | Trevor Michael Bullock, DO 920 Milwaukee Ave, Lincolnshire, IL 60069 Ph: (847) 866-7846 |
Dr. Swetha S Nukala, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Village Grn Ste 120, Lincolnshire, IL 60069 Phone: 847-634-1766 Fax: 847-634-2894 | |
Joseph A Perkins Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 | |
Stephen James Wielgus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 Fax: 224-251-4568 | |
Carey Eugene Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 | |
Hallie E. Labrador, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 Fax: 224-251-4568 | |
Richard Allen Margolin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Village Grn Ste 120, Lincolnshire, IL 60069 Phone: 847-390-5500 Fax: 847-390-5501 | |
Dr. Teresa M Chirayil, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Parkway Dr, Lincolnshire, IL 60069 Phone: 847-390-5500 |