| Dr Mark R Terrell, MD | |
|
417 N Arboretum Cir, Wheaton, IL 60189-8703 | |
| (630) 364-6564 | |
| Not Available |
| Full Name | Dr Mark R Terrell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 417 N Arboretum Cir, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194764621 | NPI | - | NPPES |
| 036089479 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036089479 (Illinois) | Primary |
| Entity Name | Central Illinois Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558425462 PECOS PAC ID: 7012944648 Enrollment ID: O20071211000663 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316399967 PECOS PAC ID: 8729011333 Enrollment ID: O20161006000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark R Terrell, MD 417 N Arboretum Cir, Wheaton, IL 60189-8703 Ph: (630) 364-6564 | Dr Mark R Terrell, MD 417 N Arboretum Cir, Wheaton, IL 60189-8703 Ph: (630) 364-6564 |
Ramesh H Desai, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main Street, Dupage Eye Surgery Center, Wheaton, IL 60187 Phone: 630-665-3690 Fax: 630-665-3686 | |
Dr. Pratiksha Trivedi, MD. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1751 S Naperville Rd, Ste 107, Wheaton, IL 60189 Phone: 630-682-9700 Fax: 630-682-3771 |