| Cole David Lundquist, MD | |
|
1875 W Dempster St, Ste 660, Park Ridge, IL 60068-1186 | |
| (847) 698-1210 | |
| (847) 698-0475 |
| Full Name | Cole David Lundquist |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 49 Years |
| Location | 1875 W Dempster St, Park Ridge, 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 |
|---|---|---|---|
| 1982688891 | NPI | - | NPPES |
| 036056878 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036056878 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Associates Of Indy Llc | 1658697453 | 2 |
| Entity Name | Dermatology Associates Of Indy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808774 PECOS PAC ID: 1658697453 Enrollment ID: O20150312002083 |
| Mailing Address | Practice Location Address |
|---|---|
| Cole David Lundquist, MD 7447 W. Talcott Ave, Suite 321, Chicago, IL 60631 Ph: (773) 774-7122 | Cole David Lundquist, MD 1875 W Dempster St, Ste 660, Park Ridge, IL 60068-1186 Ph: (847) 698-1210 |
Rebecca Candler Clawson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1550 N Northwest Hwy Ste 300, Park Ridge, IL 60068 Phone: 847-298-1831 | |
Victoria Catherine Kuritza, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 N Home Ave, Park Ridge, IL 60068 Phone: 847-830-2222 | |
Dr. Steven N Mandrea, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr, Suite 208, Park Ridge, IL 60068 Phone: 847-298-1831 Fax: 847-298-1832 |