| Dr Lance Kelly, MD | |
|
2160 S 1st Ave, Maywood, IL 60153 | |
| (708) 216-9169 | |
| (708) 216-1249 |
| Full Name | Dr Lance Kelly |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 7 Years |
| Location | 2160 S 1st Ave, Maywood, 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 |
|---|---|---|---|
| 1831694892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 125.072310 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 036154058 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Anesthesia Associates P C | 0042118069 | 53 |
| Entity Name | Allied Anesthesia Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750330742 PECOS PAC ID: 0042118069 Enrollment ID: O20040203000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lance Kelly, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (505) 220-5446 | Dr Lance Kelly, MD 2160 S 1st Ave, Maywood, IL 60153 Ph: (708) 216-9169 |
Sherine Hanna, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Bldg., Rm. 3102, Maywood, IL 60153 Phone: 708-216-8866 Fax: 708-216-1249 | |
Mrs. Afshan Hamida, M.D Anesthesiology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-202-2047 | |
Marco Mikhael, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8238 Fax: 708-216-8267 | |
Chantal Alvarado Quirk, Anesthesiology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Neal Ranjit Mugve, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola Department Of Anesthesia, Maywood, IL 60153 Phone: 708-216-9169 Fax: 708-216-1249 | |
Dr. Domenic James Pulito, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9169 | |
Sabin Caius Oana, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Dept Of Anesthesia, Maywood, IL 60153 Phone: 708-216-8866 |