Ricky Wong, MD | |
2650 Ridge Ave, Kellogg 3rd Floor, Chicago, IL 60201-1447 | |
(847) 570-1440 | |
Not Available |
Full Name | Ricky Wong |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 16 Years |
Location | 2650 Ridge Ave, Chicago, 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 |
---|---|---|---|
1184862336 | NPI | - | NPPES |
036126958 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 125054462 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Northwest Community Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134433154 PECOS PAC ID: 3375737331 Enrollment ID: O20101103000837 |
Mailing Address | Practice Location Address |
---|---|
Ricky Wong, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Ricky Wong, MD 2650 Ridge Ave, Kellogg 3rd Floor, Chicago, IL 60201-1447 Ph: (847) 570-1440 |
Peleg Horowitz, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Stephen Ondra, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Adam Mendel Sonabend Worthalter, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St Ste 21-100, Chicago, IL 60611 Phone: 312-695-0990 | |
Kazuki Sakakura, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 600 S Paulina St, Chicago, IL 60612 Phone: 628-628-6309 | |
Gail L Rosseau, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4501 N Winchester Ave, 2nd Fl, Chicago, IL 60640 Phone: 773-250-0500 Fax: 773-250-0497 | |
Dr. Ravi Nunna, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1650 W Harrison St Ste 466, Chicago, IL 60612 Phone: 312-942-5495 | |
Tord Alden, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2300 N Childrens Plz, Chicago, IL 60614 Phone: 773-880-4000 Fax: 773-281-1576 |