Maryann Deleon, MD | |
777 Park Ave W, Highland Park, IL 60035-2433 | |
(847) 480-2833 | |
(847) 480-2675 |
Full Name | Maryann Deleon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 777 Park Ave W, Highland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982786091 | NPI | - | NPPES |
036098323 | Other | IL | IL STATE LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036098323 (Illinois) | Primary |
Entity Name | Swedish Covenant Management Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Mailing Address | Practice Location Address |
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Maryann Deleon, MD 777 Park Ave W, Highland Park, IL 60035-2433 Ph: (847) 480-2833 | Maryann Deleon, MD 777 Park Ave W, Highland Park, IL 60035-2433 Ph: (847) 480-2833 |
Dr. Erica Dayan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 767 Park Ave W, Suite 230, Highland Park, IL 60035 Phone: 847-681-7100 Fax: 847-681-7110 | |
Mr. Robert E Ruderman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1160 Park Avenue West, Highland Park, IL 60035 Phone: 847-432-8422 Fax: 847-432-9480 | |
Mr. Michael D Siegel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1160 Park Avenue West, Highland Park, IL 60035 Phone: 847-432-8422 Fax: 847-432-9480 | |
Dr. Shweta M Stuart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2530 Fax: 847-570-0231 | |
Dr. Sara L Star, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1160 Park Avenue West, Highland Park, IL 60035 Phone: 847-432-8422 Fax: 847-432-9480 | |
Sheena Gupta Mckenzie, MD, MBA Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Park Ave. West, Pediatric Hospitalists, Highland Park, IL 60035 Phone: 847-570-2530 Fax: 847-570-0231 | |
Dr. Susan F Sirota, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 767 Park Ave W, Suite 230, Highland Park, IL 60035 Phone: 847-681-7100 Fax: 847-681-7110 |