| Dr Michael R Dehaan, MD | |
|
401 N Michigan Ave Ste 1200, Chicago, IL 60611-4264 | |
| (312) 635-0973 | |
| Not Available |
| Full Name | Dr Michael R Dehaan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 41 Years |
| Location | 401 N Michigan Ave Ste 1200, Chicago, 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 |
|---|---|---|---|
| 1770588287 | NPI | - | NPPES |
| P00213432 | Other | IL | RRMC |
| 0001635157 | Other | IL | BCBS PROVIDER NO. |
| 0360735792 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036073579 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine Wounds Llc | 0840726212 | 5 |
| Nephrology Associates Of Northern Illinois Ltd | 2163328675 | 108 |
| Entity Name | Nephrology Associates Of Northern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313 |
| Entity Name | Willow Springs Surgery Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467429233 PECOS PAC ID: 5092783712 Enrollment ID: O20040921000585 |
| Entity Name | Sunshine Wounds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831917368 PECOS PAC ID: 0840726212 Enrollment ID: O20241209002302 |
| Entity Name | Radial Wound Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740009042 PECOS PAC ID: 4082140918 Enrollment ID: O20241216000753 |
| Entity Name | Nani Vascular North Asc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568262236 PECOS PAC ID: 9931625001 Enrollment ID: O20250501001517 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Dehaan, MD 401 N Michigan Ave Ste 1200, Chicago, IL 60611-4264 Ph: (312) 635-0973 | Dr Michael R Dehaan, MD 401 N Michigan Ave Ste 1200, Chicago, IL 60611-4264 Ph: (312) 635-0973 |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Anngell Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2653 W Ogden Ave Fl 3, Chicago, IL 60608 Phone: 773-257-6701 Fax: 773-257-6226 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 | |
Jateen C Patel, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 8201 East Riverside Blvd, Chicago, IL 60673 Phone: 815-971-7000 |