| Dr Theresa Catherine Gandor, MD | |
|
800 W Central Rd, Northwest Community Hospital - Emergency Dept., Arlington Heights, IL 60005-2349 | |
| (847) 618-3040 | |
| (847) 618-3049 |
| Full Name | Dr Theresa Catherine Gandor |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 800 W Central Rd, Arlington Heights, 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 |
|---|---|---|---|
| 1164674131 | NPI | - | NPPES |
| 036121957 | Other | IL | 036121957 - IL STATE PERMANENT PHYSICIAN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01083194A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036121957 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa Catherine Gandor, MD 800 W Central Rd, Northwest Community Hospital - Emergency Dept., Arlington Heights, IL 60005-2349 Ph: (847) 618-3040 | Dr Theresa Catherine Gandor, MD 800 W Central Rd, Northwest Community Hospital - Emergency Dept., Arlington Heights, IL 60005-2349 Ph: (847) 618-3040 |
John A Shanley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-618-4177 | |
Charles Nozicka, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W Central Rd, Northwest Community Hospital, Arlington Heights, IL 60005 Phone: 847-618-2494 | |
Dr. Carl Boyar, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1835 W Central Rd, Arlington Heights, IL 60005 Phone: 847-385-5022 | |
Dr. Michael Edward Donahue, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W. Central Rd., Arlington Heights, IL 60005 Phone: 847-618-3040 | |
Dr. Michael Ryan Casner, MD, MA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-618-3040 | |
Dr. Jack S. Wu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Department Of Emergency Medicine, Arlington Heights, IL 60005 Phone: 847-618-3040 Fax: 847-618-3049 |