| Dr Johann Sebastian Jc Reyes Serag, MD | |
|
2720 Divison St, Chicago, IL 60622-2853 | |
| (773) 523-8600 | |
| Not Available |
| Full Name | Dr Johann Sebastian Jc Reyes Serag |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 2720 Divison St, Chicago, 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 |
|---|---|---|---|
| 1487987814 | NPI | - | NPPES |
| 12464493 | Other | IL | CAQH |
| 036141804 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD446474 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 036-141804 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premise Health Of Illinois Medical Pc | 3971764762 | 27 |
| Entity Name | Access Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
| Entity Name | Vivek Gupta, M.d., S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033300694 PECOS PAC ID: 3678668308 Enrollment ID: O20070926000910 |
| Entity Name | Premise Health Of Illinois Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johann Sebastian Jc Reyes Serag, MD Po Box 3603, Oak Brook, IL 60522-3603 Ph: (773) 772-7858 | Dr Johann Sebastian Jc Reyes Serag, MD 2720 Divison St, Chicago, IL 60622-2853 Ph: (773) 523-8600 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Hunter Kegan Holt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 722 W Maxwell St, Chicago, IL 60607 Phone: 312-996-2901 Fax: 312-996-5181 | |
Ashley Multani, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4177 S Archer Ave, Chicago, IL 60632 Phone: 773-254-2222 |