Mr Bogdan Derylo, MD | |
2608 W Addison St, Chicago, IL 60618-5905 | |
(312) 654-2700 | |
(866) 954-5804 |
Full Name | Mr Bogdan Derylo |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 26 Years |
Location | 2608 W Addison St, 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 |
---|---|---|---|
1447211966 | NPI | - | NPPES |
036122336 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 22935 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Swedish Covenant Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associates In Nephrology Sc | 9133023963 | 52 |
Entity Name | Associates In Nephrology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184694259 PECOS PAC ID: 9133023963 Enrollment ID: O20031124000308 |
Mailing Address | Practice Location Address |
---|---|
Mr Bogdan Derylo, MD 210 S Desplaines St, Chicago, IL 60661-5500 Ph: (312) 654-2720 | Mr Bogdan Derylo, MD 2608 W Addison St, Chicago, IL 60618-5905 Ph: (312) 654-2700 |
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