| Grace Ortman, MD | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 766-7334 | |
| (815) 766-9768 |
| Full Name | Grace Ortman |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 1 Kish Hospital Dr, Dekalb, 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 |
|---|---|---|---|
| 1215391099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036151500 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Kishwaukee Hospital | Dekalb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| 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 | Innovative IV Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457818098 PECOS PAC ID: 1850633769 Enrollment ID: O20190425000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Ortman, MD 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 | Grace Ortman, MD 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 |
Nina L Taylor, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 W Lincoln Hwy, Northern Illinois University / Health Services, Dekalb, IL 60115 Phone: 815-753-1311 |
Syed S Haq, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |
Jeanne M Johnston, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 626 Bethany Rd, Dekalb, IL 60115 Phone: 815-756-1521 |
Dr. David Mayor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 |
Dr. Talha Ahmed, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |
Michael S Hohlastos, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 Fax: 815-748-2978 |
Michael Hagstrom, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |