| Dr Gordon Kt Chu, MD | |
|
305 W Jackson St Ste 400, Carbondale, IL 62901-1474 | |
| (618) 351-4972 | |
| (618) 351-4973 |
| Full Name | Dr Gordon Kt Chu |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 32 Years |
| Location | 305 W Jackson St Ste 400, Carbondale, 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 |
|---|---|---|---|
| 1235310756 | NPI | - | NPPES |
| 036119245 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036119245 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon Kt Chu, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Gordon Kt Chu, MD 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 Ph: (618) 351-4972 |
Eugenio Fortunato Vargas, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 | |
Mark Fleming, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Eric Hudgins, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 | |
Dr. Dongwoo John Chang, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 |