| Daniel Guillermo Davila, MD | |
|
800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1671 | |
| (847) 234-4310 | |
| (847) 234-4336 |
| Full Name | Daniel Guillermo Davila |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 800 N Westmoreland Rd Ste 100, 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 |
|---|---|---|---|
| 1558637124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 61656-20 (Wisconsin) | Secondary |
| 208600000X | Surgery | 080171 (Georgia) | Secondary |
| 208600000X | Surgery | 036150641 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Northwestern Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225076706 PECOS PAC ID: 6608845771 Enrollment ID: O20040927000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Guillermo Davila, MD 800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1671 Ph: (847) 234-4310 | Daniel Guillermo Davila, MD 800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1671 Ph: (847) 234-4310 |
Mariana Vigiola Cruz, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045 Phone: 847-535-7208 | |
James D Frydman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd, Suite 205, Lake Forest, IL 60045 Phone: 847-234-4310 Fax: 847-234-4336 | |
Dr. Denise Monahan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045 Phone: 847-582-6029 | |
Dr. Heidi Christine Memmel Mitidiero, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-582-2134 Fax: 847-535-7285 | |
Stephen W Ganshirt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd, Suite 205, Lake Forest, IL 60045 Phone: 847-234-4310 Fax: 847-234-4336 | |
Dr. Sonya M Sharpless, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd Ste 303, Lake Forest, IL 60045 Phone: 847-735-0067 Fax: 847-735-1398 | |
Dr. Robert A Ryan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1127 Forest Hill Rd, Lake Forest, IL 60045 Phone: 847-295-2541 Fax: 847-295-2546 |