Ryan Lustenberger, MD | |
12251 S 80th Ave, Palos Heights, IL 60463-1256 | |
(708) 923-4000 | |
Not Available |
Full Name | Ryan Lustenberger |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 12251 S 80th Ave, Palos Heights, 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 |
---|---|---|---|
1215223714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036134590 (Illinois) | Primary |
207L00000X | Anesthesiology | 125059189 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Palos Community Hospital | Palos heights, IL | Hospital |
Swedish American Hospital | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Rockford Anesthesiologists Associated Llc | 5597668004 | 51 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Rockford Anesthesiologists Associated Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639128598 PECOS PAC ID: 5597668004 Enrollment ID: O20040131000052 |
Entity Name | Palos Anesthesia Associates, S.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659345791 PECOS PAC ID: 2466485602 Enrollment ID: O20050916000884 |
Entity Name | Novus Illinois Service Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454 |
Mailing Address | Practice Location Address |
---|---|
Ryan Lustenberger, MD 12251 S 80th Ave, Palos Heights, IL 60463-1256 Ph: () - | Ryan Lustenberger, MD 12251 S 80th Ave, Palos Heights, IL 60463-1256 Ph: (708) 923-4000 |
Matthew Scott Kominsky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4000 Fax: 708-923-8848 | |
Michael J Bautista, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 | |
Mark G Ruttle, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 | |
Dr. Yun Kipnis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 350, Palos Heights, IL 60463 Phone: 708-923-3936 Fax: 708-923-8848 | |
Jerry Y Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 | |
Michael J Sobczak, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463 Phone: 708-923-5700 Fax: 708-923-8848 |