Kenneth M Pelehac, DO | |
5404 Foxwoods Dr, Oak Lawn, IL 60453 | |
(708) 382-1615 | |
(888) 702-1052 |
Full Name | Kenneth M Pelehac |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 5404 Foxwoods Dr, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487651550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036085109 (Illinois) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 036085109 (Illinois) | Secondary |
208600000X | Surgery | 49770 (Wisconsin) | Primary |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Entity Name | Ameriwound Physicians Il Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
Entity Name | Drynachan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20170824001273 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Mailing Address | Practice Location Address |
---|---|
Kenneth M Pelehac, DO 5404 Foxwoods Dr, Oak Lawn, IL 60453-5073 Ph: (708) 382-1615 | Kenneth M Pelehac, DO 5404 Foxwoods Dr, Oak Lawn, IL 60453 Ph: (708) 382-1615 |
Dr. Jamie Clementi, MD Surgery Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Paul R Balash, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 413, Oak Lawn, IL 60453 Phone: 708-346-4055 Fax: 708-499-0948 | |
Jason Zimmermann, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 413, Oak Lawn, IL 60453 Phone: 708-499-0034 | |
Steven Lance Salzman, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Dept. Of Trauma 183s, Oak Lawn, IL 60453 Phone: 708-684-4015 Fax: 708-684-3049 | |
Rodney Howard Thill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 W 95th Street, Suite 413, Oak Lawn, IL 60452 Phone: 708-346-4055 Fax: 708-499-0948 | |
Dr. David R. Stern, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 308, Oak Lawn, IL 60453 Phone: 708-346-4040 Fax: 708-346-3287 | |
Dr. Bryce Joseph Chalmar Bardezbanian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Physician's Office Pavilion 207, Oak Lawn, IL 60453 Phone: 708-684-1562 |