| Carey Eugene Ellis, MD | |
|
920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | |
| (847) 866-7846 | |
| Not Available |
| Full Name | Carey Eugene Ellis |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 31 Years |
| Location | 920 Milwaukee Ave, Lincolnshire, 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 |
|---|---|---|---|
| 1316955099 | NPI | - | NPPES |
| 36110022 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036110022 (Illinois) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 036-110022 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Illinois Bone And Joint Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Carey Eugene Ellis, MD Northshore Medical Group, 2650 Ridge Ave. Suite 1223, Evanston, IL 60201-1700 Ph: (847) 982-6710 | Carey Eugene Ellis, MD 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 Ph: (847) 866-7846 |
Joseph A Perkins Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 | |
Stephen James Wielgus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 Fax: 224-251-4568 | |
Hallie E. Labrador, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Milwaukee Ave, Lincolnshire, IL 60069 Phone: 847-866-7846 Fax: 224-251-4568 | |
Richard Allen Margolin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Parkway Dr, Lincolnshire, IL 60069 Phone: 847-390-5500 Fax: 847-390-5501 | |
Dr. Teresa M Chirayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Parkway Dr, Lincolnshire, IL 60069 Phone: 847-390-5500 | |
Imaan Maimunah Baseer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Parkway Dr Ste 255a, Lincolnshire, IL 60069 Phone: 847-390-5500 Fax: 847-390-5501 |