Jenelle L Mallios Gialousakis, OD | |
3450 Lacey Rd, Downers Grove, IL 60515-5430 | |
(630) 743-4500 | |
(630) 743-4537 |
Full Name | Jenelle L Mallios Gialousakis |
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Gender | Female |
Speciality | Optometrist |
Location | 3450 Lacey Rd, Downers Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700190535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046011190 (Illinois) | Primary |
Provider Name | Midwestern University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538445317 PECOS PAC ID: 6305734773 Enrollment ID: O20120521000662 |
Mailing Address | Practice Location Address |
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Jenelle L Mallios Gialousakis, OD 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500 | Jenelle L Mallios Gialousakis, OD 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500 |
Carolyn Dienes, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1412 Butterfield Rd, Downers Grove, IL 60515 Phone: 630-627-3001 Fax: 630-627-3021 | |
Henna Asghar, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1402 Butterfield Rd, Butterfield Plaza, Downers Grove, IL 60515 Phone: 630-629-2025 | |
Hardesty Eye Care Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 Highland Ave, Suite 100, Downers Grove, IL 60515 Phone: 630-960-0456 Fax: 630-960-9521 | |
Daniel James Deligio, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Lacy Road, Downers Grove, IL 60515 Phone: 630-743-4500 | |
Dr. Alison Faye Stock, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2934 Finley Rd, Downers Grove, IL 60515 Phone: 630-916-4770 | |
Jessica N Conroy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Lacey Rd, Downers Grove, IL 60515 Phone: 630-743-4500 Fax: 630-743-4537 | |
Dr. Linda S Weil, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515 Phone: 630-960-0456 Fax: 630-960-9521 |