Mrs Mary Therese Pasciak, MD | |
133 E Brush Hill Rd, Ste 205, Elmhurst, IL 60126-5659 | |
(331) 221-9605 | |
(331) 221-3828 |
Full Name | Mrs Mary Therese Pasciak |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 133 E Brush Hill Rd, Elmhurst, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427127505 | NPI | - | NPPES |
036066600 | Medicaid | IL | |
31602800 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036066600 (Illinois) | Primary |
Entity Name | Edward Health Ventures |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Therese Pasciak, MD 133 E Brush Hill Rd, Ste 205, Elmhurst, IL 60126-5659 Ph: (331) 221-9605 | Mrs Mary Therese Pasciak, MD 133 E Brush Hill Rd, Ste 205, Elmhurst, IL 60126-5659 Ph: (331) 221-9605 |
William T O'rourke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 172 E Schiller St, Elmhurst, IL 60126 Phone: 331-221-0000 Fax: 331-221-2312 | |
Maelen M Pantano, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 172 Schiller St, Elmhurst, IL 60126 Phone: 331-221-9001 Fax: 331-221-2315 | |
Ramier J Lehne, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9199 | |
Barbara E Potaczek, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-8952 Fax: 331-221-3782 | |
Dr. Lalitha Dileep-ansal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-8952 Fax: 331-221-3782 | |
Dr. Omar Shamsi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S York St, Suite 1240, Elmhurst, IL 60126 Phone: 331-221-6140 Fax: 331-221-3838 | |
Dhara Naik, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 172 E Schiller St, Elmhurst, IL 60126 Phone: 331-221-0000 Fax: 331-221-2312 |