| Anna Sporysheva, MD | |
| 8780 W Golf Rd Ste 304, Niles, IL 60714-5611 | |
| (847) 297-8900 | |
| (847) 297-8926 | 
| Full Name | Anna Sporysheva | 
|---|---|
| Gender | Female | 
| Speciality | Ophthalmology | 
| Location | 8780 W Golf Rd Ste 304, Niles, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629691605 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 036.166561 (Illinois) | Primary | 
| Entity Name | Retina Institute Of Illinois | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417037623 PECOS PAC ID: 1153320973 Enrollment ID: O20061205000398 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anna Sporysheva, MD 8780 W Golf Rd Ste 304, Niles, IL 60714-5611 Ph: (847) 297-8900 | Anna Sporysheva, MD 8780 W Golf Rd Ste 304, Niles, IL 60714-5611 Ph: (847) 297-8900 | 
| Rumya Rao, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8780 W. Golf Road #304, Niles, IL 60714 Phone: 847-297-8900 | |
| Kevin L Sullivan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811 Fax: 773-819-7013 | |
| Paul Park, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811 Fax: 773-819-7013 | |
| Dr. Jason Gibbs Ethington, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811 Fax: 773-819-7013 | |
| Kevin R Mcclellan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811 Fax: 773-819-7013 | |
| Mary A Dougal, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811 Fax: 773-819-7013 |