Kayla Janine Dmytruk, MD | |
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
(708) 216-9000 | |
Not Available |
Full Name | Kayla Janine Dmytruk |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 3249 Oak Park Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467974402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 125.071325 (Illinois) | Secondary |
207L00000X | Anesthesiology | 036150762 (Illinois) | Primary |
Entity Name | Gottlieb Community Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Entity Name | Loyola Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Entity Name | Encore Anesthesia Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558987883 PECOS PAC ID: 3476979683 Enrollment ID: O20200819000850 |
Mailing Address | Practice Location Address |
---|---|
Kayla Janine Dmytruk, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Kayla Janine Dmytruk, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 216-9000 |
Dr. Bharti Raizada, M.D, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-6339 | |
Mauree Beard, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Joseph John Alioto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 708-216-9000 | |
Anna Julia Miller, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Longcheng Su, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667 | |
Ariele Keats, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Jennifer Thai Andersen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 Fax: 708-783-0075 |