| Dr Diana A Guse, MD | |
|
1162 W Maple Ave, Mundelein, IL 60060 | |
| (847) 367-2400 | |
| (847) 367-2440 |
| Full Name | Dr Diana A Guse |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 16 Years |
| Location | 1162 W Maple Ave, Mundelein, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912134313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036135358 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036135358 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| 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 | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana A Guse, MD 1162 W Maple Ave, Mundelein, IL 60060-1438 Ph: (847) 367-2400 | Dr Diana A Guse, MD 1162 W Maple Ave, Mundelein, IL 60060 Ph: (847) 367-2400 |
Chhaya Chandel, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 550 N Midlothian Rd, # 400, Mundelein, IL 60060 Phone: 847-837-1923 Fax: 847-837-1924 | |
Vladimir Ulyanov, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 333 E Il Route 83, Suite 107, Mundelein, IL 60060 Phone: 847-566-5556 Fax: 847-566-8886 |