Roman O Kozyckyj, MD | |
6345 W 79th St, Burbank, IL 60459-1133 | |
(844) 725-5238 | |
(708) 346-8285 |
Full Name | Roman O Kozyckyj |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 6345 W 79th St, Burbank, 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 |
---|---|---|---|
1184603961 | NPI | - | NPPES |
01625872 | Other | BC BC | |
036063880 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-063880 (Illinois) | Secondary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 036.063880 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Roman O Kozyckyj, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Roman O Kozyckyj, MD 6345 W 79th St, Burbank, IL 60459-1133 Ph: (844) 725-5238 |
Dr. Ana M Nowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Humberto Deleon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Dr. Di Ma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Dr. Sandeep Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7903 Lockwood Ave, Burbank, IL 60459 Phone: 708-422-9577 Fax: 708-422-8101 | |
Waqar Mian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 844-725-5238 Fax: 708-346-8285 | |
Khursheed Gir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Charmi Vijay Desai, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 |