Ann Kellogg Lal, MD | |
2160 S 1st Ave, Loyola Outpatient Center, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Ann Kellogg Lal |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 17 Years |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518163401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 036126984 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 863 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154541936 PECOS PAC ID: 3072422716 Enrollment ID: O20031201000021 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Entity Name | Mercy Hospital & Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215914791 PECOS PAC ID: 7618861105 Enrollment ID: O20040216000053 |
Entity Name | Loyola Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
---|---|
Ann Kellogg Lal, MD 2160 S 1st Ave, Loyola Outpatient Center, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Ann Kellogg Lal, MD 2160 S 1st Ave, Loyola Outpatient Center, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Linda Brubaker, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, (russo Ent., Rm. 1016), Maywood, IL 60153 Phone: 708-216-8563 Fax: 708-216-2275 | |
Lena Rose Wiley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3380 | |
Fabiola Fernandez, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Leslie Marie Waddell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-2460 | |
Jasmin Alisa Nwachokor, M.D Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-2170 | |
Jordan Leigh Sheran, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, 103-1011, Maywood, IL 60153 Phone: 708-216-5459 |