| Dr Kristin Baldea, MD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-8152 | |
| Not Available |
| Full Name | Dr Kristin Baldea |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265660393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036135350 (Illinois) | Primary |
| 208600000X | Surgery | 125055917 (Illinois) | Secondary |
| 208800000X | Urology | ME177545 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristin Baldea, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Dr Kristin Baldea, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-8152 |
Timothy Moonhwan Han, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8467 | |
Dr. Liam Hatch, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6901 Fax: 708-216-6585 | |
Christopher Gonzalez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Grace Bayudan Delos Santos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Derek John Matoka, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153 Phone: 708-216-6266 Fax: 708-216-6585 | |
Gopal N. Gupta, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153 Phone: 708-216-5098 Fax: 708-126-1699 |