| Gerrit Max Dunford, | |
|
4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 | |
| (815) 455-2752 | |
| (815) 455-2789 |
| Full Name | Gerrit Max Dunford |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 4309 W Medical Center Dr Ste B202, Mchenry, 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 |
|---|---|---|---|
| 1326493271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036149067 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Humboldt Park Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704 |
| 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 |
| Entity Name | Osipova Surgical Service Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154974590 PECOS PAC ID: 6406183698 Enrollment ID: O20190812000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerrit Max Dunford, 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 Ph: (815) 455-2752 | Gerrit Max Dunford, 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 Ph: (815) 455-2752 |
Dr. Keilla Amorim Schmidt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4530 Fax: 815-759-8053 | |
Dr. Basudeb Saha, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4318 L Crystal Lake Rd, Mchenry, IL 60050 Phone: 815-344-0620 Fax: 815-344-0504 | |
Anna Lakoma Kuiken, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 | |
Dr. Anand R Desai, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 | |
Eugene Lee, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 | |
Dr. Alexandra B. Roginsky Tsesis, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 |