Tina Yun Mantanona, MD | |
1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | |
(847) 537-7157 | |
Not Available |
Full Name | Tina Yun Mantanona |
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Gender | Female |
Speciality | Family Medicine |
Location | 1475 E Belvidere Rd Unit 385, Grayslake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922362623 | NPI | - | NPPES |
1922362623 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A129087 (California) | Secondary |
207Q00000X | Family Medicine | 036144032 (Illinois) | Primary |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
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Tina Yun Mantanona, MD 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 Ph: (847) 537-7157 | Tina Yun Mantanona, MD 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 Ph: (847) 537-7157 |
Richard R. Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 Phone: 847-535-8000 | |
Adiba Khan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd, Suite 385, Grayslake, IL 60030 Phone: 847-535-7157 Fax: 312-694-0655 | |
Rachel Jean Bernardo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 Phone: 847-535-7157 | |
Michael Kraft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 Phone: 847-535-7157 | |
Dr. Deborah S Clements, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1275 E Belvidere Rd, Suite 250, Grayslake, IL 60030 Phone: 847-926-0106 | |
Bryan Killian, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd, Grayslake, IL 60030 Phone: 312-926-0106 Fax: 312-694-0655 | |
Francesca Therese Meade, Family Medicine Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 Phone: 847-535-7157 |