| Gary Lee Reschak, MD | |
|
650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | |
| (815) 455-6000 | |
| (815) 356-1104 |
| Full Name | Gary Lee Reschak |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 650 Dakota St Ste A, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811218654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 40881 (Iowa) | Secondary |
| 208000000X | Pediatrics | 036151382 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Lee Reschak, MD 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 | Gary Lee Reschak, MD 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 |
Dr. Ubaidur R Papa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Coventry Ln, Ste 206, Crystal Lake, IL 60014 Phone: 815-455-1266 Fax: 815-455-0789 | |
Dr. Barry A Altshuler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014 Phone: 815-455-2100 Fax: 815-455-3284 | |
Lisa B Messinger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104 | |
Catherine Wysocka, Pediatrics Medicare: Medicare Enrolled Practice Location: 820 E Terra Cotta Ave Ste 226, Crystal Lake, IL 60014 Phone: 815-455-2100 Fax: 815-455-3284 | |
Dr. Laura M Buthod, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104 | |
Dr. George B. Gancayco, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 781 Mchenry Ave, Crystal Lake, IL 60014 Phone: 815-459-2200 Fax: 815-444-9566 | |
Dr. Sandra Lukic Graba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 815-459-6780 Fax: 815-459-1648 |