| Dr Stavros Nicholas Maltezos, MD | |
|
3825 Highland Ave, Tower 1, Suite 5m, Downers Grove, IL 60515-1552 | |
| (630) 725-9890 | |
| (630) 725-0988 |
| Full Name | Dr Stavros Nicholas Maltezos |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 3825 Highland Ave, Downers Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902987076 | NPI | - | NPPES |
| 0001617783 | Other | IL | BLUE SHIELD OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | (Illinois) | Primary |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stavros Nicholas Maltezos, MD Dept 2299 Paysphere Circle, Chicago, IL 60674 Ph: (630) 725-9890 | Dr Stavros Nicholas Maltezos, MD 3825 Highland Ave, Tower 1, Suite 5m, Downers Grove, IL 60515-1552 Ph: (630) 725-9890 |
Egon Mr Doppenberg, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Highland Ave, Downers Grove, IL 60515 Phone: 844-376-3876 Fax: 630-929-0633 | |
Krishna Chaitanya Joshi, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Highland Ave Ste 200a, Downers Grove, IL 60515 Phone: 844-376-3876 | |
Dr. Raed Fuad Abusuwwa, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Highland Avenue, Suite 200a, Downers Grove, IL 60515 Phone: 844-376-3876 Fax: 630-929-0633 |