| Dr John Edward Dybis, DO | |
|
5140 N California Ave, Suite 780, Chicago, IL 60625-3645 | |
| (773) 273-6810 | |
| (773) 273-5332 |
| Full Name | Dr John Edward Dybis |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 5140 N California Ave, 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 |
|---|---|---|---|
| 1639299977 | NPI | - | NPPES |
| 036114053 1 | Medicaid | IL | |
| 036114053 2 | Medicaid | IL | |
| 1630046 | Other | IL | BCBS OF IL GROUP NUMBER |
| 036114053 | Medicaid | IL | |
| 1629966 | Other | IL | BS OF IL GROUP # NIESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036114053 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Memorial Hospital | 6204731144 | 155 |
| Entity Name | Decatur Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Edward Dybis, DO 5140 N California Ave, Suite 780, Chicago, IL 60625-3645 Ph: (773) 273-6810 | Dr John Edward Dybis, DO 5140 N California Ave, Suite 780, Chicago, IL 60625-3645 Ph: (773) 273-6810 |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Anngell Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2653 W Ogden Ave Fl 3, Chicago, IL 60608 Phone: 773-257-6701 Fax: 773-257-6226 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 | |
Jateen C Patel, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 8201 East Riverside Blvd, Chicago, IL 60673 Phone: 815-971-7000 |