| Dr Christopher Brenner, MD | |
|
9910 W 55th St, Countryside, IL 60525-3612 | |
| (708) 352-6166 | |
| (708) 352-3864 |
| Full Name | Dr Christopher Brenner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 9910 W 55th St, Countryside, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629020102 | NPI | - | NPPES |
| 036073572 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073572 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
| Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
| Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nani Internal Med Llc | 6901141498 | 5 |
| Entity Name | Adventist Midwest Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821156068 PECOS PAC ID: 8224025887 Enrollment ID: O20040427000900 |
| Entity Name | Nani Internal Med Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740765700 PECOS PAC ID: 6901141498 Enrollment ID: O20190103001385 |
| Entity Name | Nani Internal Med Aco, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699348342 PECOS PAC ID: 6204365257 Enrollment ID: O20250121002832 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Brenner, MD 9910 W 55th St, Countryside, IL 60525-3612 Ph: (708) 352-6166 | Dr Christopher Brenner, MD 9910 W 55th St, Countryside, IL 60525-3612 Ph: (708) 352-6166 |
Chandra Sharma, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6335 Joliet Rd Ste 104, Countryside, IL 60525 Phone: 847-873-9367 Fax: 224-246-8127 | |
Dr. Michael David Santilli, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7345 Prescott Ln, Countryside, IL 60525 Phone: 708-354-9405 Fax: 708-354-9140 | |
Dr. Stacey L Carpenter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Joliet Rd, Countryside, IL 60525 Phone: 708-485-2273 Fax: 708-352-0845 |