| Giovanni David Giannotti, MD | |
|
5140 N California Ave, Suite 780, Chicago, IL 60625-3645 | |
| (773) 273-6810 | |
| (773) 273-5532 |
| Full Name | Giovanni David Giannotti |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 5140 N California Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619989688 | NPI | - | NPPES |
| 0001630046 | Other | IL | BCBS OF IL GROUP NUMBER |
| 036098872 3 | Medicaid | IL | |
| 036098872 2 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 036098872 (Illinois) | Secondary |
| 208600000X | Surgery | 036098872 (Illinois) | Primary |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Entity Name | Giovanni D Giannotti Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457787475 PECOS PAC ID: 4183850217 Enrollment ID: O20131120001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Giovanni David Giannotti, MD 2222 W Division St, Ste 335, Chicago, IL 60622-2995 Ph: (773) 273-6810 | Giovanni David Giannotti, MD 5140 N California Ave, Suite 780, Chicago, IL 60625-3645 Ph: (773) 273-6810 |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Anngell Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2653 W Ogden Ave Fl 3, Chicago, IL 60608 Phone: 773-257-6701 Fax: 773-257-6226 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 | |
Jateen C Patel, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 8201 East Riverside Blvd, Chicago, IL 60673 Phone: 815-971-7000 |