| Dr Richard Douglas Southgate, MD | |
|
1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045-1658 | |
| (847) 535-8500 | |
| (847) 535-8499 |
| Full Name | Dr Richard Douglas Southgate |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 1000 N Westmoreland Rd # Level3, Lake Forest, 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 |
|---|---|---|---|
| 1720303308 | NPI | - | NPPES |
| MD184629 | Other | OR | OR MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 142231 (California) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 036162961 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| One Home Health Agency, Ltd | Crystal lake, IL | Home health agency |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Northwestern Memorial Hospital | Chicago, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Douglas Southgate, MD 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045-1658 Ph: (847) 535-8500 | Dr Richard Douglas Southgate, MD 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045-1658 Ph: (847) 535-8500 |
Ellen V. Kroin, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8500 | |
Ronald Dewald, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1645 W Broadland Ln, Lake Forest, IL 60045 Phone: 847-234-5841 Fax: 847-234-5919 | |
Benjamin Davis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 Phone: 847-535-8500 Fax: 847-535-8488 | |
Daniel Mark Briggs, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8500 Fax: 847-535-8488 | |
Dr. Emily Anne Gilley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 Phone: 847-535-8500 Fax: 847-535-8488 | |
Dr. David J Kaufman, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045 Phone: 847-535-8500 Fax: 847-535-8488 | |
Dr. James Russell Creath Sr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1345 S Wilson Dr, Lake Forest, IL 60045 Phone: 847-234-6212 |