| John Markos Mamalakis, MD | |
|
155 E. Bush Hill Rd., Elmhurst Anesthesiologists, Elmhurst, IL 60126-5658 | |
| (331) 221-3521 | |
| (331) 221-3827 |
| Full Name | John Markos Mamalakis |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 155 E. Bush Hill Rd., Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780726661 | NPI | - | NPPES |
| 34433800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 45807 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 036158414 (Illinois) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Brookfield Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942257902 PECOS PAC ID: 5395847529 Enrollment ID: O20070219000542 |
| Mailing Address | Practice Location Address |
|---|---|
| John Markos Mamalakis, MD 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 544-2011 | John Markos Mamalakis, MD 155 E. Bush Hill Rd., Elmhurst Anesthesiologists, Elmhurst, IL 60126-5658 Ph: (331) 221-3521 |
Young Soo Hong, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-3521 Fax: 331-221-3827 | |
Laura Hahn, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Dr. Meghan L Brennan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Dr. Vicko Gluncic, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 155 E. Brush Hill Rd., Department Of Anesthesia, Elmhurst, IL 60126 Phone: 331-221-3521 Fax: 331-221-3827 | |
Dr. Teresa Maria Kusper, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S York St, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Dr. Mahin Hamidi, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
Riki Patel, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1200 S. York St., Outpatient Surgery Center, Elmhurst, IL 60126 Phone: 331-221-6360 Fax: 331-221-3827 |