Ivailo Dichev Dimov, MD | |
77 Blackhawk Rd, Highland Park, IL 60035-5227 | |
(847) 208-0532 | |
Not Available |
Full Name | Ivailo Dichev Dimov |
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Gender | Male |
Speciality | Anesthesiology |
Location | 77 Blackhawk Rd, Highland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578662631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036101550 (Illinois) | Primary |
207L00000X | Anesthesiology | A76262 (California) | Secondary |
Entity Name | Illinois Pain Treatment Institute Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295811479 PECOS PAC ID: 3577464940 Enrollment ID: O20040119000131 |
Entity Name | Barrington Anesthesia Associates, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811168818 PECOS PAC ID: 3870667256 Enrollment ID: O20080801000674 |
Entity Name | Jay Anesthesia And Pain Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407118227 PECOS PAC ID: 0244488674 Enrollment ID: O20120910000692 |
Entity Name | Pinnacle Anesthesia Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205103777 PECOS PAC ID: 1850549841 Enrollment ID: O20120917000584 |
Mailing Address | Practice Location Address |
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Ivailo Dichev Dimov, MD 77 Blackhawk Rd, Highland Park, IL 60035-5227 Ph: (847) 208-0532 | Ivailo Dichev Dimov, MD 77 Blackhawk Rd, Highland Park, IL 60035-5227 Ph: (847) 208-0532 |
Judith Anne Samson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2808 Lexington Ln, Highland Park, IL 60035 Phone: 312-498-4482 Fax: 847-433-2381 | |
Robert A. Natonson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 625 Roger Williams Ave, Suite 101, Highland Park, IL 60035 Phone: 847-433-3460 Fax: 847-433-4062 | |
Dr. Lawrence Steinberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1770 1st Street, Suite 703, Highland Park, IL 60035 Phone: 847-433-1539 | |
Dr. David Michael Woosencraft, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1770 1st St, Suite 703, Highland Park, IL 60035 Phone: 847-772-2293 | |
James M. Barton, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 718 Glenview Ave, Highland Park, IL 60035 Phone: 847-480-3852 Fax: 847-480-3712 | |
Dr. Daniel Peng Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24 Saint Charles Pl, Highland Park, IL 60035 Phone: 309-363-5955 | |
Dr. Srdja Bulatovic, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1770 1st St, Suite 703, Highland Park, IL 60035 Phone: 847-433-1539 Fax: 847-433-1552 |