| Jason Stoklosa, | |
|
701 W North Ave, Melrose Park, IL 60160-1612 | |
| (708) 538-4934 | |
| Not Available |
| Full Name | Jason Stoklosa |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 10 Years |
| Location | 701 W North Ave, Melrose Park, 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 |
|---|---|---|---|
| 1730534322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036161161 (Illinois) | Primary |
| 207L00000X | Anesthesiology | 305508 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 409 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Stoklosa, 701 W North Ave, Melrose Park, IL 60160-1612 Ph: (718) 780-3000 | Jason Stoklosa, 701 W North Ave, Melrose Park, IL 60160-1612 Ph: (708) 538-4934 |
Tamara Rendulic, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1225 W Lake St, Westlake Hospital / Anesthesia Department, Melrose Park, IL 60160 Phone: 708-681-3000 | |
Evin Aryan Koleini, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-538-4934 Fax: 708-538-5328 | |
Steve In-hyuk Ro, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 312-560-2655 | |
John Paul Sims, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3202 | |
Rebecca Aureus, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 701 West North Avenue, Melrose Park, IL 60160 Phone: 708-681-3202 | |
William G Grehan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3202 | |
Michael Alan King, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1225 West Lake Street, Melrose Park, IL 60160 Phone: 708-681-3000 Fax: 708-783-0920 |