Ms Ewa Poltorak, MD | |
503 Elm Street, Glenview, IL 60025-4158 | |
(847) 687-6759 | |
(847) 730-3729 |
Full Name | Ms Ewa Poltorak |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 503 Elm Street, Glenview, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558307603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01058615 (Indiana) | Primary |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992034599 PECOS PAC ID: 3678602802 Enrollment ID: O20101021000962 |
Mailing Address | Practice Location Address |
---|---|
Ms Ewa Poltorak, MD 503 Elm Street, Glenview, IL 60025-4158 Ph: (847) 687-6759 | Ms Ewa Poltorak, MD 503 Elm Street, Glenview, IL 60025-4158 Ph: (847) 687-6759 |
Brooke Vanderby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Ravine Way Ste 200, Glenview, IL 60025 Phone: 847-998-5680 | |
Kellie Gates, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Ravine Way Ste 200, Glenview, IL 60025 Phone: 847-998-5680 Fax: 847-998-6365 | |
Dr. Harold J Heyman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3805 Brett Ln, Glenview, IL 60026 Phone: 847-724-4317 | |
Sheetal K Decaria, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2550 Compass Rd Unit Ab, Glenview, IL 60026 Phone: 847-834-4018 | |
Ardeshir Afra, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4315 Hammersmith Ln, Glenview, IL 60026 Phone: 847-827-3308 |