Raelene D Kennedy, MD | |
1725 W Harrison St Ste 810, Chicago, IL 60612 | |
(312) 942-5500 | |
Not Available |
Full Name | Raelene D Kennedy |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 16 Years |
Location | 1725 W Harrison St Ste 810, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003047267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 036-148573 (Illinois) | Primary |
208600000X | Surgery | 036-148573 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Oak Park Hospital | Oak park, IL | Hospital |
Rush University Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rush University Medical Center | 5496658874 | 997 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538135819 PECOS PAC ID: 0446208961 Enrollment ID: O20050111000400 |
Mailing Address | Practice Location Address |
---|---|
Raelene D Kennedy, MD 1725 W Harrison St Ste 810, Chicago, IL 60612-3863 Ph: (312) 942-5500 | Raelene D Kennedy, MD 1725 W Harrison St Ste 810, Chicago, IL 60612 Ph: (312) 942-5500 |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 |