| Dr Kurt W Erickson, MD | |
|
11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 | |
| (708) 824-1114 | |
| (708) 824-9341 |
| Full Name | Dr Kurt W Erickson |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 42 Years |
| Location | 11560 S Kedzie Ave Ste 100, Merrionette Park, 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 |
|---|---|---|---|
| 1033173125 | NPI | - | NPPES |
| 236550 | Other | IL | MEDICARE GROUP |
| CD8033 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| CN2703 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| 036073183 | Medicaid | IL | |
| 060056644 | Other | IL | RAILROAD MEDICARE WILL |
| 236551 | Other | IL | MEDICARE GROUP |
| 416810 | Other | IL | MEDICARE GROUP |
| 1508810086 | Other | IL | GROUP NPI |
| 01621208 | Other | BLUE CROSS BLUE SHIELD | |
| 060042344 | Other | IL | RAILROAD MEDICARE COOK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036073183 (Illinois) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 036073183 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heart Care Centers Of Illinois, S.c. | 6103738810 | 35 |
| Entity Name | Heart Care Centers Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508810086 PECOS PAC ID: 6103738810 Enrollment ID: O20031103000069 |
| Entity Name | Premier Vascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366890782 PECOS PAC ID: 7719274042 Enrollment ID: O20160929001415 |
| Entity Name | Gottlieb Community Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kurt W Erickson, MD 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 478-3600 | Dr Kurt W Erickson, MD 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 Ph: (708) 824-1114 |
Dr. Nora O'byrne, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 S Kedzie Ave Ste D, Merrionette Park, IL 60803 Phone: 708-684-6867 | |
Dr. Joumana Tannous Chaiban, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 S Kedzie Ave Ste D, Merrionette Park, IL 60803 Phone: 708-684-6867 Fax: 708-684-6869 | |
Alyssia Morley, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11600 S Kedzie Ave Ste D, Merrionette Park, IL 60803 Phone: 708-684-6867 | |
Mr. Michael W Debre, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11600 S Kedzie Ave, Suite B, Merrionette Park, IL 60803 Phone: 708-684-6867 | |
Angela Pauline Patawaran Calimag, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 S Kedzie Ave Ste D, Merrionette Park, IL 60803 Phone: 708-684-6867 Fax: 708-684-6869 | |
Dr. James Paul Sur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803 Phone: 708-824-1114 Fax: 708-824-9341 |