| Dr Ruheri A Perez-tamayo, MD,PHD | |
|
4309 Medical Center Drive, Ste. A200, Mchenry, IL 60050 | |
| (815) 759-4699 | |
| (815) 759-8938 |
| Full Name | Dr Ruheri A Perez-tamayo |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 36 Years |
| Location | 4309 Medical Center Drive, Mchenry, 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 |
|---|---|---|---|
| 1881655397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 036100023 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036100023 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Cardiac Surgery Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269160 PECOS PAC ID: 2860304102 Enrollment ID: O20031104000518 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ruheri A Perez-tamayo, MD,PHD 321 S Ashland Ave, La Grange, IL 60525-6307 Ph: (708) 822-3064 | Dr Ruheri A Perez-tamayo, MD,PHD 4309 Medical Center Drive, Ste. A200, Mchenry, IL 60050 Ph: (815) 759-4699 |
Mahmoud Farhat, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 Phone: 815-759-8070 Fax: 815-759-4931 |