| Dr Teresa E Grant, MD | |
|
1 E Countyline Rd, Sandwich, IL 60548-2178 | |
| (815) 786-2722 | |
| (815) 786-6840 |
| Full Name | Dr Teresa E Grant |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 1 E Countyline Rd, Sandwich, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922091412 | NPI | - | NPPES |
| 036111643 | Medicaid | IL | |
| 1921614 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036111643 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036111643 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Touch Healthcare, Inc | Oswego, IL | Home health agency |
| Unity Hospice Of Western Illinois | Rochelle, IL | Hospice |
| Edward Hospital | Naperville, IL | Hospital |
| Valley West Community Hospital | Sandwich, IL | Hospital |
| Swedish Covenant Hospital | Chicago, IL | Hospital |
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| 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 Teresa E Grant, MD 1 E Countyline Rd, Sandwich, IL 60548-2178 Ph: (815) 786-2722 | Dr Teresa E Grant, MD 1 E Countyline Rd, Sandwich, IL 60548-2178 Ph: (815) 786-2722 |
Dr. Angela M. Egly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 E Pleasant Ave, Room 129, Sandwich, IL 60548 Phone: 815-786-6988 Fax: 815-786-1418 | |
Dr. Ramesh Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 W Pleasant Ave, Sandwich, IL 60548 Phone: 815-786-9197 Fax: 815-786-9199 | |
Dr. Thomas Crosby Liske, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 831 Sandhurst Dr Ste 2, Sandwich, IL 60548 Phone: 815-786-3060 Fax: 815-786-8701 |