| Dr Michael S Vercillo, MD | |
|
4405 Weaver Pkwy, Warrenville, IL 60555-3269 | |
| (630) 352-5450 | |
| (630) 938-8849 |
| Full Name | Dr Michael S Vercillo |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 18 Years |
| Location | 4405 Weaver Pkwy, Warrenville, 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 |
|---|---|---|---|
| 1598911505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036.130263 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael S Vercillo, MD 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5450 | Dr Michael S Vercillo, MD 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5450 |
Robert B Love, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-938-8850 |