| Aristeidie Diveris, | |
|
660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | |
| (847) 535-6100 | |
| Not Available |
| Full Name | Aristeidie Diveris |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 40 Years |
| Location | 660 N Westmoreland Rd, Lake Forest, 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 |
|---|---|---|---|
| 1013926112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Priority Anesthesia Llc | 2264780360 | 5 |
| Polykarpos Anesthesia Llc | 9436424629 | 2 |
| Entity Name | Brookfield Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942257902 PECOS PAC ID: 5395847529 Enrollment ID: O20070219000542 |
| Entity Name | Polykarpos Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154850972 PECOS PAC ID: 9436424629 Enrollment ID: O20171016000281 |
| Entity Name | Priority Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285174557 PECOS PAC ID: 2264780360 Enrollment ID: O20180807000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Aristeidie Diveris, 925 Sherwood Dr, Lake Bluff, IL 60044-2203 Ph: () - | Aristeidie Diveris, 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 Ph: (847) 535-6100 |
Barry S. Levin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 915 S Waukegan Rd Ste 200, Lake Forest, IL 60045 Phone: 224-516-4108 Fax: 224-516-4116 | |
Craig Sopko, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6100 | |
Dr. Michael J. Tobin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6100 | |
John Spehlmann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 800-444-6110 | |
Dr. Brian Zider, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 Fax: 847-535-7884 | |
Ronald Meyer, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6100 |