| Dr George Bardouniotis, MD | |
|
2210 Dean St, Suite B, St Charles, IL 60175-1066 | |
| (630) 377-5300 | |
| (630) 377-6721 |
| Full Name | Dr George Bardouniotis |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 2210 Dean St, St Charles, 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 |
|---|---|---|---|
| 1194724088 | NPI | - | NPPES |
| 036091313 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-091313 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 3081 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Bardouniotis, MD 1860 Paysphere Cir, Chicago, IL 60674-1066 Ph: (630) 469-2000 | Dr George Bardouniotis, MD 2210 Dean St, Suite B, St Charles, IL 60175-1066 Ph: (630) 377-5300 |
Dr. Timothy Michael Bradley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-659-3502 |
Dr. John H White, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2210 Dean St, Suite B, St Charles, IL 60175 Phone: 630-377-5300 Fax: 630-377-6721 |