Tyler Egbert, | |
635 N Dearborn St Ste 100, Chicago, IL 60654-4618 | |
(312) 694-2127 | |
(312) 694-2129 |
Full Name | Tyler Egbert |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 6 Years |
Location | 635 N Dearborn St Ste 100, Chicago, 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 |
---|---|---|---|
1801389853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036160308 (Illinois) | Primary |
207P00000X | Emergency Medicine | 2018018672 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Southeasthealth | Cape girardeau, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Missouri Hospital Physicians Llc | 9133024334 | 185 |
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Mailing Address | Practice Location Address |
---|---|
Tyler Egbert, One Hospital Drive, Suite M562, Columbia, MO 65212 Ph: (573) 884-3233 | Tyler Egbert, 635 N Dearborn St Ste 100, Chicago, IL 60654-4618 Ph: (312) 694-2127 |
Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
Dr. Ro Gonsalves, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 773-967-2000 |