Jay Burstein, MD | |
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
(815) 758-8671 | |
(815) 758-5610 |
Full Name | Jay Burstein |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1850 Gateway Dr, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699784827 | NPI | - | NPPES |
008448 | Other | IL | HEALTH ALLIANCE |
036061597 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036-061597 (Illinois) | Primary |
Entity Name | Kishwaukee Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
Mailing Address | Practice Location Address |
---|---|
Jay Burstein, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | Jay Burstein, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
Dr. Ricardo Manuel De Oliveira Soares, MD. FEBU Urology Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 | |
Zaid Farooq, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr Ste 203, Sycamore, IL 60178 Phone: 815-766-3942 Fax: 815-758-5482 | |
Mrs. Keelin Willits, NP-C Urology Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 | |
Bernard Johnson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 |