Mr Micah James Leestma, DO | |
3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | |
(708) 783-2000 | |
(708) 783-3656 |
Full Name | Mr Micah James Leestma |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 3231 Euclid Ave, Berwyn, 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 |
---|---|---|---|
1013201623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125-059138 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pinnacle Hospital | Crown point, IN | Hospital |
Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
Franciscan Health Crown Point | Crown point, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leestma Medical Clinic, Inc | 1850290263 | 2 |
Rci (wrs), Llc. | 5092624510 | 328 |
Entity Name | Leestma Medical Clinic, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487986451 PECOS PAC ID: 1850290263 Enrollment ID: O20040105000827 |
Mailing Address | Practice Location Address |
---|---|
Mr Micah James Leestma, DO 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 Ph: (708) 783-2000 | Mr Micah James Leestma, DO 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 Ph: (708) 783-2000 |
Nereida Esparza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Maria Ramirez, Family Medicine Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Bradford S. Wainer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6840 Windsor Ave, Berwyn, IL 60402 Phone: 708-484-0042 Fax: 708-749-5489 | |
Dr. Catherine Anichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6326 Cermak Rd, Berwyn, IL 60402 Phone: 708-303-9234 Fax: 305-698-6536 | |
Elsa Valero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-0044 | |
Dr. Ron Chacko, Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-8090 Fax: 708-445-4444 |