Dr Cezar Mallari, MD | |
5n144 Maple Ct, St Charles, IL 60175-6259 | |
(800) 242-1131 | |
Not Available |
Full Name | Dr Cezar Mallari |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 5n144 Maple Ct, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417016809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | (Illinois) | Primary |
Entity Name | Kane Anesthesia Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568407401 PECOS PAC ID: 2769388438 Enrollment ID: O20031211000990 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Cezar Mallari, MD 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Dr Cezar Mallari, MD 5n144 Maple Ct, St Charles, IL 60175-6259 Ph: (800) 242-1131 |
Richard M Forster, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 Fax: 630-584-9805 | |
Dr. Maria N. Quartetti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5n144 Maple Ct, St Charles, IL 60175 Phone: 630-208-4060 | |
Robert Berg, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2475 Dean St, St Charles, IL 60175 Phone: 630-584-9800 | |
Ronald A Harmon, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 | |
Dr. Timothy Staudacher, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5n144 Maple Ct, St Charles, IL 60175 Phone: 630-208-3000 | |
Jerome Bettag, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 Fax: 630-584-9805 |