Ryan Stefancik, | |
3001 Green Bay Rd, North Chicago, IL 60064-3048 | |
(847) 688-1900 | |
Not Available |
Full Name | Ryan Stefancik |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3001 Green Bay Rd, North Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194349324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 125.076850 (Illinois) | Primary |
Entity Name | V Covington, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134634116 PECOS PAC ID: 7315209988 Enrollment ID: O20180328000814 |
Mailing Address | Practice Location Address |
---|---|
Ryan Stefancik, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: () - | Ryan Stefancik, 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (847) 688-1900 |
Anatoliy Pyslar, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 847-578-3000 | |
Neelpreet Toor, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Brandon Fleres, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Semyon Shulman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 Fax: 847-610-2940 | |
Jeremy Wolfe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Deepa Nadella, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Lynn Marie Malanfant, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 815-759-2306 Fax: 224-610-3885 |