Mayela Beatriz Leal Chanchi, MD | |
3 Erie Ct Ste 6160, Oak Park, IL 60302-2519 | |
(708) 434-4007 | |
(708) 434-4008 |
Full Name | Mayela Beatriz Leal Chanchi |
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Gender | Female |
Speciality | Pediatrics - Sports Medicine |
Location | 3 Erie Ct Ste 6160, Oak 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 |
---|---|---|---|
1740785005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080S0010X | Pediatrics - Sports Medicine | 287319 (Massachusetts) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | 036167084 (Illinois) | Primary |
Entity Name | Children's Sports Medicine Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740216811 PECOS PAC ID: 7719901198 Enrollment ID: O20060125000006 |
Mailing Address | Practice Location Address |
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Mayela Beatriz Leal Chanchi, MD 3 Erie Ct Ste 6160, Oak Park, IL 60302-2519 Ph: (708) 434-4007 | Mayela Beatriz Leal Chanchi, MD 3 Erie Ct Ste 6160, Oak Park, IL 60302-2519 Ph: (708) 434-4007 |
Dr. Erin Michelle Taback, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1107 Chicago Ave, Oak Park, IL 60302 Phone: 708-383-2900 Fax: 708-383-2969 | |
Dr. Emily K Beamer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1011 Lake St, Suite 300, Oak Park, IL 60301 Phone: 708-628-0600 Fax: 708-628-0608 | |
Karen Marie Walker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6300 Roosevelt Rd, Oak Park, IL 60304 Phone: 708-848-8240 | |
Dr. Donna Lynne Wegner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 Chicago Ave, Oak Park, IL 60302 Phone: 708-383-8070 Fax: 708-383-0811 | |
Maimoona Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 S Maple Ave, Suite 3900, Oak Park, IL 60304 Phone: 708-524-1674 | |
Dr. Ann Brigid Fischer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6300 Roosevelt Rd, Oak Park, IL 60304 Phone: 708-848-8240 Fax: 708-383-2135 | |
Dr. Heather Ann Haukness, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 Chicago Ave, Oak Park, IL 60302 Phone: 708-383-8070 Fax: 708-383-0811 |