| John Mark Revis, MD | |
|
1435 Waukegan Rd, Glenview, IL 60025-2120 | |
| (847) 832-6500 | |
| (847) 724-5379 |
| Full Name | John Mark Revis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 1435 Waukegan Rd, Glenview, 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 |
|---|---|---|---|
| 1174682637 | NPI | - | NPPES |
| 110191370 | Other | IL | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-080976 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem Home & Hospice | Skokie, IL | Home health agency |
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Vi At The Glen | Glenview, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| John Mark Revis, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206 | John Mark Revis, MD 1435 Waukegan Rd, Glenview, IL 60025-2120 Ph: (847) 832-6500 |
Karen Chiu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Pfingsten Rd Ste 3001a, Glenview, IL 60026 Phone: 847-657-5840 Fax: 847-657-5732 | |
Lynn K. Martin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2550 Waukegan Rd, Suite 100, Glenview, IL 60025 Phone: 847-729-2541 Fax: 847-729-2546 | |
Dr. Jamee Castillo Tantoco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd Ste 320, Glenview, IL 60026 Phone: 847-998-4170 Fax: 847-998-4165 | |
Dr. Gregory Aaron Wallman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Compass Rd, Suite 100, Glenview, IL 60026 Phone: 847-901-5200 Fax: 847-904-4907 | |
Rebecca Wanting Tsang, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2150 Pfingsten Rd Ste 3000, Glenview, IL 60026 Phone: 847-657-1900 | |
Dr. Monica S. Borkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Pfingsten Rd, Suite B230, Glenview, IL 60026 Phone: 847-657-1900 Fax: 847-657-1961 | |
Joel R. Green, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Pfingsten Rd Ste 3001a, Glenview, IL 60026 Phone: 847-657-5840 Fax: 847-657-5835 |