| Jeffrey Petrusek, | |
|
27790 W Highway 22 Ste 27, Barrington, IL 60010-2396 | |
| (847) 649-6000 | |
| (847) 649-6060 |
| Full Name | Jeffrey Petrusek |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 9 Years |
| Location | 27790 W Highway 22 Ste 27, Barrington, 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 |
|---|---|---|---|
| 1639531759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036.155766 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear, Nose And Throat Care Center, Ltd. | 1759618580 | 12 |
| Midwest Ent Alliance Pllc | 5294276259 | 83 |
| Entity Name | Ear, Nose & Throat Care Center, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962063776 PECOS PAC ID: 1759618580 Enrollment ID: O20190816000008 |
| Entity Name | Midwest Ent Alliance Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588449458 PECOS PAC ID: 5294276259 Enrollment ID: O20240918002812 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Petrusek, 27790 W Highway 22 Ste 27, Barrington, IL 60010-2396 Ph: (847) 649-6000 | Jeffrey Petrusek, 27790 W Highway 22 Ste 27, Barrington, IL 60010-2396 Ph: (847) 649-6000 |
Dr. Jason G Cundiff, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 27790 W Highway 22 Ste 27, Barrington, IL 60010 Phone: 847-649-6000 | |
Gary L Livingston, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 27790 W Highway 22 Ste 27, Barrington, IL 60010 Phone: 847-649-6000 | |
Nicole M Roman, PA Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 27790 W Highway 22, Barrington, IL 60010 Phone: 478-649-6000 |