Mikhail Freidine, MD | |
12935 Gregory St, Blue Island, IL 60406-2428 | |
(708) 597-2000 | |
Not Available |
Full Name | Mikhail Freidine |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 46 Years |
Location | 12935 Gregory St, Blue Island, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225048960 | NPI | - | NPPES |
036111700 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036111700 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norwegian-american Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
---|---|
Mikhail Freidine, MD 925 Sherwood Dr, Lake Bluff, IL 60044-2203 Ph: () - | Mikhail Freidine, MD 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 597-2000 |
Aruna Ramulu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
William Zimmermann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-824-4494 | |
Dmitry Belchenko, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 |