Jeffrey K Zawacki, MD | |
3245 Grove Ave, Suite 202, Berwyn, IL 60402-3474 | |
(708) 484-0621 | |
(708) 484-0250 |
Full Name | Jeffrey K Zawacki |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 3245 Grove Ave, Berwyn, 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 |
---|---|---|---|
1790774750 | NPI | - | NPPES |
036089882 | Medicaid | IL | |
01619787 | Other | BCBSIL GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036-089882 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Macneal Hospital | Berwyn, IL | Hospital |
Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Suburban Surgical Associates Ltd | 0143247056 | 2 |
Entity Name | Suburban Surgical Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821088667 PECOS PAC ID: 0143247056 Enrollment ID: O20051031000385 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey K Zawacki, MD 3245 Grove Ave, Suite 202, Berwyn, IL 60402-3474 Ph: (708) 484-0621 | Jeffrey K Zawacki, MD 3245 Grove Ave, Suite 202, Berwyn, IL 60402-3474 Ph: (708) 484-0621 |
Dr. Mark S Choh, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3245 Grove Ave, #202, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 | |
Mary Beth Leonard, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3245 Grove Ave, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 | |
Mouhammad E Souman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3452 Grove Ave, Suite 202, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 | |
Jayantibhai Gopalbhai Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 6834 W Cermak Road, Berwyn, IL 60402 Phone: 708-788-6270 Fax: 708-788-6271 | |
Dr. Robin Lynn Favor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3245 Grove Ave, Suite 202, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 |