Mr Mark Kosanovich, MD | |
2525 S Michigan Ave, B-390, Chicago, IL 60616-2333 | |
(312) 567-6691 | |
(312) 328-7895 |
Full Name | Mr Mark Kosanovich |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2525 S Michigan Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275517401 | NPI | - | NPPES |
01621679 | Other | IL | BCBS OF IL |
036100871 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036100871 (Illinois) | Primary |
Entity Name | Rush University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407817257 PECOS PAC ID: 4789679366 Enrollment ID: O20040415000186 |
Entity Name | Alivio Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083860845 PECOS PAC ID: 5698840924 Enrollment ID: O20081114000791 |
Mailing Address | Practice Location Address |
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Mr Mark Kosanovich, MD 2525 S Michigan Ave, B-390, Chicago, IL 60616-2333 Ph: (312) 567-6691 | Mr Mark Kosanovich, MD 2525 S Michigan Ave, B-390, Chicago, IL 60616-2333 Ph: (312) 567-6691 |
Elizabeth Isak, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-8811 Fax: 312-926-8855 | |
Malavika Kalyani Perinchery, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 Phone: 773-834-0598 | |
Margaret C Schermerhorn, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Maria Teresa Tam, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657 Phone: 773-904-8641 Fax: 872-888-1206 | |
Mr. Clyde Harris Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8234 S. Ashland Avenue, Chicago, IL 60620 Phone: 773-874-1400 Fax: 773-874-9245 | |
Rebekah Osgood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-3627 Fax: 312-587-9802 | |
Dr. Sarah Hoque, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 |