| Alexander Stukalov, MD | |
|
1775 W Dempster St, Park Ridge, IL 60068-1143 | |
| (847) 723-2210 | |
| Not Available |
| Full Name | Alexander Stukalov |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 1775 W Dempster St, Park Ridge, 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 |
|---|---|---|---|
| 1467488205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036110012 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 45773 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Entity Name | Windy City Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932248622 PECOS PAC ID: 9234033572 Enrollment ID: O20031120000022 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Quantum Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033546833 PECOS PAC ID: 7618100751 Enrollment ID: O20140425001247 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Stukalov, MD 255 W Michigan Ave, Po Box 1123, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Alexander Stukalov, MD 1775 W Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-2210 |
Nancy Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Lutheran General Hospital, 1775 Dempster Ave, Park Ridge, IL 60068 Phone: 847-723-1773 | |
Annabelle Mangan Levine, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
David Tian Chin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St Ste Aip, Park Ridge, IL 60068 Phone: 800-655-2656 Fax: 412-822-7411 | |
Linda Castaneda, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Jesse Tyler Nelson, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-6522 | |
Caroline Ter Rahe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Ethan Jordan Parnass, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-723-3532 |