| Dr Timothy Staudacher, MD | |
|
5n144 Maple Ct, St Charles, IL 60175-6259 | |
| (630) 208-3000 | |
| Not Available |
| Full Name | Dr Timothy Staudacher |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 5n144 Maple Ct, St Charles, 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 |
|---|---|---|---|
| 1740342435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36084646 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delnor Community Hospital | Geneva, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Apollo Medical Group Of Illinois Llc | 4880036078 | 24 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Kane Anesthesia Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568407401 PECOS PAC ID: 2769388438 Enrollment ID: O20031211000990 |
| Entity Name | Valley Ambulatory Surgery Center Anesthesiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629082326 PECOS PAC ID: 0345225116 Enrollment ID: O20040624000312 |
| Entity Name | Apollo Medical Group Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730934597 PECOS PAC ID: 4880036078 Enrollment ID: O20240520001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Staudacher, MD 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Dr Timothy Staudacher, MD 5n144 Maple Ct, St Charles, IL 60175-6259 Ph: (630) 208-3000 |
Richard M Forster, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 Fax: 630-584-9805 | |
Dr. Maria N. Quartetti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5n144 Maple Ct, St Charles, IL 60175 Phone: 630-208-4060 | |
Dr. Cezar Mallari, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5n144 Maple Ct, St Charles, IL 60175 Phone: 800-242-1131 | |
Robert Berg, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2475 Dean St, St Charles, IL 60175 Phone: 630-584-9800 | |
Ronald A Harmon, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 | |
Anthony P Giamberdino, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2475 Dean St, St Charles, IL 60175 Phone: 630-584-9800 |