| Gene Michael Kubacki, DO | |
|
1029 East 130th Street, Chicago, IL 60628 | |
| (773) 995-6300 | |
| (601) 376-2114 |
| Full Name | Gene Michael Kubacki |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1029 East 130th Street, 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 |
|---|---|---|---|
| 1275680258 | NPI | - | NPPES |
| 04009076 | Medicaid | MS | |
| 036098945 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16884 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 036098945 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gene Michael Kubacki, DO 2932 W Ludwig Rd, Fort Wayne, IN 46818-1328 Ph: (260) 755-1304 | Gene Michael Kubacki, DO 1029 East 130th Street, Chicago, IL 60628 Ph: (773) 995-6300 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028 | |
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |