| Dr Steven L Ciciora, MD | |
|
1200 S York St Ste 3190, Elmhurst, IL 60126-5628 | |
| (331) 221-9275 | |
| Not Available |
| Full Name | Dr Steven L Ciciora |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 1200 S York St Ste 3190, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598941627 | NPI | - | NPPES |
| 0073484 | Medicaid | OH | |
| H200250 | Other | OH | CGS - MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 036177189 (Illinois) | Primary |
| Entity Name | Pediatric Academic Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
| Entity Name | Nationwide Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851179873 PECOS PAC ID: 0042385064 Enrollment ID: O20240214002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven L Ciciora, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Steven L Ciciora, MD 1200 S York St Ste 3190, Elmhurst, IL 60126-5628 Ph: (331) 221-9275 |
Nicole Schmidt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 135 N Addison Ave, Elmhurst, IL 60126 Phone: 630-832-3100 Fax: 630-832-1604 | |
Victoria Uribe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9002 Fax: 331-221-2747 | |
Michelle N Conroy, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9002 Fax: 331-221-2747 | |
Erica C Attanasio, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 135 N Addison Ave, Elmhurst, IL 60126 Phone: 630-832-3100 Fax: 630-832-1604 | |
Marianne Senese, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9002 Fax: 331-221-2747 | |
Jeanette Edwards, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 152 N Addison Ave, Ste 200, Elmhurst, IL 60126 Phone: 630-832-3100 | |
Ellen Therese Parker, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N York St, Elmhurst, IL 60126 Phone: 708-327-7030 Fax: 630-833-8834 |