| Andrew Michael Peck, MD | |
|
601 W Golf Rd Ste 105, Nephrology Assoc. Of Northern Illinois, Mount Prospect, IL 60056-4276 | |
| (847) 439-8780 | |
| (847) 298-6395 |
| Full Name | Andrew Michael Peck |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 20 Years |
| Location | 601 W Golf Rd Ste 105, Mount Prospect, 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 |
|---|---|---|---|
| 1114191632 | NPI | - | NPPES |
| 036119166 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036119166 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 036119166 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Niles | Niles, IL | Dialysis facility |
| Davita - Evanston Renal Center | Evanston, IL | Dialysis facility |
| Fmc - Norridge | Norridge, IL | Dialysis facility |
| Affiliated Dialysis Centers | Oak park, IL | Dialysis facility |
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology Associates Of Northern Illinois Ltd | 2163328675 | 108 |
| Entity Name | Nephrology Associates Of Northern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Michael Peck, MD 120 W 22nd St, Nephrology Associates Of Northern Illinois, Oak Brook, IL 60523-1557 Ph: (630) 573-5000 | Andrew Michael Peck, MD 601 W Golf Rd Ste 105, Nephrology Assoc. Of Northern Illinois, Mount Prospect, IL 60056-4276 Ph: (847) 439-8780 |
Sheilendr Khipple, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 199 W Rand Rd Ste 203, Mount Prospect, IL 60056 Phone: 847-618-5450 Fax: 847-618-5459 | |
Ewa Dembowski, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 199 W Rand Rd Ste 203, Mount Prospect, IL 60056 Phone: 847-618-0326 Fax: 708-618-5459 | |
Dr. Michael E Glickman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 199 W Rand Rd Ste 203, Mount Prospect, IL 60056 Phone: 847-618-5450 Fax: 847-618-5459 | |
Dr. Philip J Kiley, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 199 W. Rand Road, Mount Prospect, IL 60056 Phone: 847-618-5450 Fax: 847-618-5459 | |
Dr. Matthew James Tyler, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1550 Bishop Ct, Mount Prospect, IL 60056 Phone: 847-685-9900 | |
Dr. Nigel N Walters, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 199 W. Rand Road, Mount Prospect, IL 60056 Phone: 847-618-5450 Fax: 847-618-5459 |