| Dr Mitchell Kentor, MD | |
|
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
| (708) 684-5375 | |
| Not Available |
| Full Name | Dr Mitchell Kentor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 4440 W 95th St, Oak Lawn, 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 |
|---|---|---|---|
| 1114455680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125070692 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell Kentor, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 | Dr Mitchell Kentor, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 |
Michael Cirone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 Fax: 708-684-1028 | |
Peter Peraud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4077 | |
Dr. Thomas Kevin Seagraves, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Dr. Timothy Koplik Henderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 | |
Elizabeth Kunjummen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Ms. Meghan Maureen Hurley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Nicolas Kettaneh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 |