Koany C Mo, DO | |
60 E Delaware Pl, 15th Fl, Chicago, IL 60611-1495 | |
(312) 440-5150 | |
(312) 440-5151 |
Full Name | Koany C Mo |
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Gender | Female |
Speciality | Anesthesiology |
Location | 60 E Delaware Pl, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093895815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Ambulatory Anesthesiologists Of Chicago Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659306272 PECOS PAC ID: 4284605171 Enrollment ID: O20040804000481 |
Entity Name | Advocate Southwest Ambulatory Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336290386 PECOS PAC ID: 1759302227 Enrollment ID: O20051212000779 |
Mailing Address | Practice Location Address |
---|---|
Koany C Mo, DO Lbx 809274, Po Box 809274, Chicago, IL 60680-9274 Ph: (773) 445-9696 | Koany C Mo, DO 60 E Delaware Pl, 15th Fl, Chicago, IL 60611-1495 Ph: (312) 440-5150 |
Dr. Aaron Daniel Kallsnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-282-7000 | |
Mr. Abbas Al-qamari, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Michigan Ave, Unit 602, Chicago, IL 60605 Phone: 847-863-7486 | |
Dr. Raymond S Belmonte, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 E Washington St, Suite 300, Chicago, IL 60602 Phone: 312-726-3329 | |
Cassidy Schwab, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-695-0061 | |
Vidhi Srivastava, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Samuel Johnson, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St Ste 403, Chicago, IL 60612 Phone: 312-942-3134 Fax: 501-380-2282 | |
Dr. Kimberly Lois Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 E 51st St, Chicago, IL 60615 Phone: 312-572-2680 Fax: 312-572-2686 |