| Dr Jeffrey William Nichols, MD | |
|
18440 Governors Hwy, Homewood, IL 60430-2911 | |
| (708) 798-2191 | |
| (708) 798-2317 |
| Full Name | Dr Jeffrey William Nichols |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 43 Years |
| Location | 18440 Governors Hwy, Homewood, 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 |
|---|---|---|---|
| 1992809941 | NPI | - | NPPES |
| 036069554 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 036069554 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| John H Stroger Jr Hospital | Chicago, IL | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cook County | 2860398088 | 698 |
| Multack Eye Care, S.c | 6507015138 | 8 |
| The University Of Chicago Medical Center | 7618880766 | 781 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Multack Eye Care, S.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851655989 PECOS PAC ID: 6507015138 Enrollment ID: O20120925000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey William Nichols, MD 694 W Irving Park Rd Apt B8, Chicago, IL 60613-3161 Ph: (773) 929-3685 | Dr Jeffrey William Nichols, MD 18440 Governors Hwy, Homewood, IL 60430-2911 Ph: (708) 798-2191 |
Dr. John Kwinn, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2640 W 183 St, Homewood, IL 60430 Phone: 708-798-6633 Fax: 708-798-6790 | |
Dr. Loretta Rutkowski, OD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2640 W 183rd St, Homewood, IL 64030 Phone: 708-789-6633 | |
Dr. Richard Alan Quinones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2640 183rd St, Homewood, IL 60430 Phone: 708-798-6633 | |
Dr. David Lubeck, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2640 183rd St, Homewood, IL 60430 Phone: 708-798-6633 | |
Ravi Shah, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2640 183rd St, Homewood, IL 60430 Phone: 708-798-6633 Fax: 708-798-6790 | |
Dr. Shivan Hiralal Tekwani, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2640 183rd St, Homewood, IL 60430 Phone: 708-798-6633 Fax: 708-798-6790 | |
Dr. Yuri Miura Kim Kern, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2640 W 183rd St, Homewood, IL 64030 Phone: 708-798-6633 |