Jeffrey W Branta, DO | |
100 W 162nd St, South Holland, IL 60473-2003 | |
(708) 730-2200 | |
(708) 210-0648 |
Full Name | Jeffrey W Branta |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 100 W 162nd St, South Holland, 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 |
---|---|---|---|
1083933261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036134540 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Trinity Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey W Branta, DO 100 W 162nd St, South Holland, IL 60473-2003 Ph: (708) 730-2200 | Jeffrey W Branta, DO 100 W 162nd St, South Holland, IL 60473-2003 Ph: (708) 730-2200 |
Dr. Julieta Lasala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 312-609-0300 Fax: 312-842-5897 | |
Shweta Gandhi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625 | |
Sajid Sami, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625 | |
Dr. William H Gillard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 52 W 162nd St, South Holland, IL 60473 Phone: 877-692-8686 Fax: 708-596-2538 | |
Dr. Charles Matthew Chelich, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16240 Prince Dr, South Holland, IL 60473 Phone: 708-331-0011 Fax: 708-331-0008 | |
Dr. Jerry Lee Jensen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15525 S Park Ave, Suite 113, South Holland, IL 60473 Phone: 708-331-5100 Fax: 708-331-5005 |