Moshe Dissen, | |
2845 N Sheridan Rd Ste 801, Chicago, IL 60657 | |
(773) 665-6851 | |
Not Available |
Full Name | Moshe Dissen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 8 Years |
Location | 2845 N Sheridan Rd Ste 801, Chicago, 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 |
---|---|---|---|
1487008389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036149851 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vmd Primary Providers Of Chicago | 1658604327 | 23 |
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
Entity Name | Vmd Primary Providers Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558829937 PECOS PAC ID: 1658604327 Enrollment ID: O20190612000252 |
Mailing Address | Practice Location Address |
---|---|
Moshe Dissen, 2845 N Sheridan Rd Ste 801, Chicago, IL 60657 Ph: (773) 665-6851 | Moshe Dissen, 2845 N Sheridan Rd Ste 801, Chicago, IL 60657 Ph: (773) 665-6851 |
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