Kellie Gates, | |
2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | |
(847) 998-5680 | |
(847) 998-6365 |
Full Name | Kellie Gates |
---|---|
Gender | Female |
Speciality | Pain Management |
Experience | 11 Years |
Location | 2401 Ravine Way Ste 200, Glenview, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386987410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 036-138881 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
One Home Health Agency, Ltd | Crystal lake, IL | Home health agency |
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Bone And Joint Institute Llc | 6002814878 | 520 |
Entity Name | Illinois Bone And Joint Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
---|---|
Kellie Gates, 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Kellie Gates, 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 Ph: (847) 998-5680 |
Brooke Vanderby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Ravine Way Ste 200, Glenview, IL 60025 Phone: 847-998-5680 | |
Dr. Harold J Heyman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3805 Brett Ln, Glenview, IL 60026 Phone: 847-724-4317 | |
Ms. Ewa Poltorak, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 503 Elm Street, Glenview, IL 60025 Phone: 847-687-6759 Fax: 847-730-3729 | |
Sheetal K Decaria, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2550 Compass Rd Unit Ab, Glenview, IL 60026 Phone: 847-834-4018 | |
Ardeshir Afra, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4315 Hammersmith Ln, Glenview, IL 60026 Phone: 847-827-3308 |