Todd T Davis, MD | |
103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923 | |
(630) 832-2111 | |
(630) 832-5199 |
Full Name | Todd T Davis |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 24 Years |
Location | 103 N Haven Rd, Elmhurst, 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 |
---|---|---|---|
1629063169 | NPI | - | NPPES |
009900257 | Other | IL | BCBS PROVIDER # |
036107390 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036107390 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Dermatology Sc | 8628353380 | 144 |
Entity Name | Elmhurst Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073575627 PECOS PAC ID: 7012953979 Enrollment ID: O20050630000371 |
Entity Name | Pinnacle Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20170320000738 |
Mailing Address | Practice Location Address |
---|---|
Todd T Davis, MD 103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923 Ph: (630) 832-2111 | Todd T Davis, MD 103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923 Ph: (630) 832-2111 |
Owen Neale Kramer, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 103 N Haven Rd Ste 7, Elmhurst, IL 60126 Phone: 630-832-2111 Fax: 630-832-5199 | |
Kathryn M Thomas, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 172 Schiller St, Elmhurst, IL 60126 Phone: 331-221-9005 Fax: 331-221-2305 | |
Lori S Shelnitz, MD Dermatology Medicare: Medicare Enrolled Practice Location: 172 Schiller St, Elmhurst, IL 60125 Phone: 331-221-9005 Fax: 331-221-2305 | |
Dr. Daniel Eric Michalik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 172 E Schiller St, Elmhurst, IL 60126 Phone: 331-221-9005 | |
Dr. Nikki N Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 103 N Haven Rd, Ste 7, Elmhurst, IL 60126 Phone: 630-832-2111 | |
Dr. Ana M Eng, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 103 N Haven Rd, Suite #7, Elmhurst, IL 60126 Phone: 630-832-2111 Fax: 630-832-5199 |