Van L Vallina, MD | |
430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | |
(630) 469-9200 | |
Not Available |
Full Name | Van L Vallina |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 Years |
Location | 430 Pennsylvania Ave, Glen Ellyn, 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 |
---|---|---|---|
1750341376 | NPI | - | NPPES |
036073489 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036073489 (Illinois) | Primary |
2086S0102X | Surgery - Surgical Critical Care | 036073489 (Illinois) | Secondary |
208600000X | Surgery | 036073489 (Idaho) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dupage Medical Group Ltd | 5496667941 | 1186 |
Entity Name | Dupage Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
---|---|
Van L Vallina, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Van L Vallina, MD 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 Ph: (630) 469-9200 |
Amrit Mangat, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Suite 350, Glen Ellyn, IL 60137 Phone: 630-790-1700 | |
Steven Sigalove, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Jihad Kudsi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 350, Glen Ellyn, IL 60137 Phone: 630-790-1700 Fax: 630-545-7531 | |
Dr. Ciaran Thomas Bradley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Ste 350, Glen Ellyn, IL 60137 Phone: 630-790-1700 | |
Dr. Matthew David Cox, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, 350, Glen Ellyn, IL 60137 Phone: 630-790-1700 | |
Amany Aziz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL 60137 Phone: 630-946-2020 Fax: 630-432-6754 |