| Dr John T Keane, MD | |
| 16105 S La Grange Rd, Orland Park, IL 60467-5503 | |
| (708) 636-3767 | |
| (708) 636-4361 | 
| Full Name | Dr John T Keane | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 16105 S La Grange Rd, Orland Park, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093758435 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | 036-049226 (Illinois) | Secondary | 
| 207N00000X | Dermatology | 036-049226 (Illinois) | Primary | 
| Entity Name | Bielinski Dermatology Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366497554 PECOS PAC ID: 6406868769 Enrollment ID: O20060705000103 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr John T Keane, MD 16105 S La Grange Rd, Orland Park, IL 60467-5503 Ph: (708) 636-3767 | Dr John T Keane, MD 16105 S La Grange Rd, Orland Park, IL 60467-5503 Ph: (708) 636-3767 | 
| Dr. Ally-khan B Somani, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3767 Fax: 708-873-5849 | |
| Christine Kay Sickles, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3767 Fax: 708-636-4361 | |
| Artem Sergeyenko, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16105 S La Grange Rd, Orland Park, IL 60467 Phone: 708-636-3757 Fax: 708-636-4361 | |
| Dr. Cheuk W Yung, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Suite 120 South, Orland Park, IL 60462 Phone: 708-460-7890 Fax: 708-460-7842 | |
| Dr. Shirley Jean-baptiste, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Suite 120 South, Orland Park, IL 60462 Phone: 708-460-7890 Fax: 708-460-5537 |