Mr Michael G Close, MD | |
5137 N Broadway St, Chicago, IL 60640-3009 | |
(773) 243-0010 | |
(773) 243-0015 |
Full Name | Mr Michael G Close |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 5137 N Broadway St, 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 |
---|---|---|---|
1992893184 | NPI | - | NPPES |
1622969 | Other | IL | BCBS |
036086407 | Medicaid | IL | |
01633171 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036086466434341568 (Illinois) | Primary |
Entity Name | Fairoaks Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487055513 PECOS PAC ID: 4789909284 Enrollment ID: O20150204000379 |
Entity Name | Haris Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710352091 PECOS PAC ID: 1254633290 Enrollment ID: O20160107000531 |
Entity Name | West Northwest Suburban Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326785338 PECOS PAC ID: 7012393879 Enrollment ID: O20220930001948 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael G Close, MD 5137 N Broadway St, Chicago, IL 60640-3009 Ph: (773) 243-0010 | Mr Michael G Close, MD 5137 N Broadway St, Chicago, IL 60640-3009 Ph: (773) 243-0010 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |