| Dr Mark S Choh, MD | |
|
3245 Grove Ave, #202, Berwyn, IL 60402-3474 | |
| (708) 484-0621 | |
| (708) 484-0250 |
| Full Name | Dr Mark S Choh |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 3245 Grove Ave, Berwyn, 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 |
|---|---|---|---|
| 1023283611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | IL 036118355 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macneal Hospital | Berwyn, IL | Hospital |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola Medical Group Llc | 6305109547 | 106 |
| Entity Name | Suburban Surgical Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821088667 PECOS PAC ID: 0143247056 Enrollment ID: O20051031000385 |
| Entity Name | Suburban Metabolic Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659690022 PECOS PAC ID: 5799973046 Enrollment ID: O20101230000612 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark S Choh, MD 3245 Grove Ave, #202, Berwyn, IL 60402-3474 Ph: (708) 484-0621 | Dr Mark S Choh, MD 3245 Grove Ave, #202, Berwyn, IL 60402-3474 Ph: (708) 484-0621 |
Mary Beth Leonard, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3245 Grove Ave, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 | |
Mouhammad E Souman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3452 Grove Ave, Suite 202, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 | |
Jayantibhai Gopalbhai Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 6834 W Cermak Road, Berwyn, IL 60402 Phone: 708-788-6270 Fax: 708-788-6271 | |
Jeffrey K Zawacki, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3245 Grove Ave, Suite 202, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 | |
Dr. Robin Lynn Favor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3245 Grove Ave, Suite 202, Berwyn, IL 60402 Phone: 708-484-0621 Fax: 708-484-0250 |