| David J Mann, MD | |
|
1450 Busch Pkwy Ste 145, Buffalo Grove, IL 60089-4541 | |
| (847) 499-5500 | |
| (847) 499-5501 |
| Full Name | David J Mann |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | 1450 Busch Pkwy Ste 145, Buffalo Grove, 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 |
|---|---|---|---|
| 1912223322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036-125066 (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 |
|---|---|---|
| Medovate Llc | 0941552277 | 2 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Medovate Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053816835 PECOS PAC ID: 0941552277 Enrollment ID: O20181015000916 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Mann, MD 9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384 Ph: (847) 675-9711 | David J Mann, MD 1450 Busch Pkwy Ste 145, Buffalo Grove, IL 60089-4541 Ph: (847) 499-5500 |
Michael H Fretzin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd, Suite 110, Buffalo Grove, IL 60089 Phone: 847-459-6611 Fax: 847-459-7929 | |
Alexis N Levitas, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd Ste 110, Buffalo Grove, IL 60089 Phone: 847-459-6611 | |
Alex Glazer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd Ste 110, Buffalo Grove, IL 60089 Phone: 847-459-6611 | |
Dr. Luzheng Liu, M.D. PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 750 W Lake Cook Rd Ste 270, Buffalo Grove, IL 60089 Phone: 847-381-8899 | |
Keith Michael Kozeny, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd, Ste 110, Buffalo Grove, IL 60089 Phone: 847-459-6611 Fax: 847-459-7929 | |
Scott David Glazer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd, Ste 110, Buffalo Grove, IL 60089 Phone: 847-459-6611 Fax: 847-459-7929 |