| Dr Eugene M Tanquilut, DO | |
|
20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 | |
| (815) 824-4406 | |
| (815) 844-0307 |
| Full Name | Dr Eugene M Tanquilut |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 34 Years |
| Location | 20060 Governors Dr, Olympia Fields, 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 |
|---|---|---|---|
| 1043215148 | NPI | - | NPPES |
| 036094341 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 02002492A (Indiana) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 036094341 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular Specialists Llc | 1153551494 | 5 |
| Vascular Specialists Llc | 1153551494 | 5 |
| Entity Name | Vascular Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992126668 PECOS PAC ID: 1153551494 Enrollment ID: O20221103002275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eugene M Tanquilut, DO 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 Ph: (815) 824-4406 | Dr Eugene M Tanquilut, DO 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 Ph: (815) 824-4406 |
Sherazuddin Qureshi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr, Olympia Fields, IL 60461 Phone: 815-824-4406 | |
Dr. James Van Siatras, D.O. Surgery Medicare: May Accept Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Aswath Subram, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3700 W 203rd St, #301, Olympia Fields, IL 60461 Phone: 708-709-9402 | |
Devan Whittington Lenhart, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Matthew L Martens, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3700 W 203rd St Ste 201, Olympia Fields, IL 60461 Phone: 708-679-2120 Fax: 708-503-3230 | |
Gerald Cahill, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 Phone: 708-679-2120 Fax: 708-503-3230 |