Ethan Michael Meisel, MD | |
211 E Ontario St, Suite 925, Chicago, IL 60611-3468 | |
(312) 573-0614 | |
(312) 573-0694 |
Full Name | Ethan Michael Meisel |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 25 Years |
Location | 211 E Ontario St, 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 |
---|---|---|---|
1013029511 | NPI | - | NPPES |
171006162A | Medicaid | GA | |
171006162B | Medicaid | GA | |
P01186845 | Other | IL | MEDICARE RAILROAD INDIVIDUAL PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | H95343 (Georgia) | Secondary |
208D00000X | General Practice | 036.123753 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Medical Care Foundation Inc | 4981501814 | 814 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Mailing Address | Practice Location Address |
---|---|
Ethan Michael Meisel, MD 2001 Butterfield Rd, Suite 300, Downers Grove, IL 60515-1050 Ph: (630) 725-2832 | Ethan Michael Meisel, MD 211 E Ontario St, Suite 925, Chicago, IL 60611-3468 Ph: (312) 573-0614 |
Rita Zafra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2004 N Pulaski Rd, Chicago, IL 60639 Phone: 773-772-8876 | |
Dr. Esmeraldo E Cordova, MD General Practice Medicare: Medicare Enrolled Practice Location: 3625 W Roosevelt Rd, Chicago, IL 60624 Phone: 773-522-0110 Fax: 630-964-8397 | |
Dr. Joseph Frank Michalski, MD, MPH, MS General Practice Medicare: Medicare Enrolled Practice Location: 820 S Wood St, Chicago, IL 60612 Phone: 516-497-1888 | |
John Aversa, MD General Practice Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 888-352-7874 | |
Dr. Claudia Rodriguez, MD General Practice Medicare: Medicare Enrolled Practice Location: 2003 W Fulton St, Chicago, IL 60612 Phone: 312-243-2223 | |
Dr. Mustafa Alam, MD General Practice Medicare: Medicare Enrolled Practice Location: 820 S Wood St Ste 100, Chicago, IL 60612 Phone: 312-996-2933 | |
Ivory S Rodriguez, APRN General Practice Medicare: Not Enrolled in Medicare Practice Location: 3105 N Nordica Ave, Chicago, IL 60634 Phone: 312-459-3875 |