| Kenneth Pang, MD | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (708) 799-8000 | |
| Not Available |
| Full Name | Kenneth Pang |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, 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 |
|---|---|---|---|
| 1073561023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036085746 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesiologists Ltd | 0547165524 | 38 |
| Entity Name | Windy City Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932248622 PECOS PAC ID: 9234033572 Enrollment ID: O20031120000022 |
| Entity Name | Midwest Anesthesiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447209390 PECOS PAC ID: 0547165524 Enrollment ID: O20031203000392 |
| Entity Name | Guardian Anesthesia Associates, S.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326097221 PECOS PAC ID: 3870494347 Enrollment ID: O20040116000932 |
| Entity Name | Dupage Valley Anesthesiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309817 PECOS PAC ID: 6305747890 Enrollment ID: O20040116001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Pang, MD 387 Shuman Blvd, Suite 240w, Naperville, IL 60563-8450 Ph: (630) 355-0450 | Kenneth Pang, MD 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 799-8000 |
Dr. Primla K. Sharma, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17577 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-1780 Fax: 708-957-5150 | |
Dr. Tanyalak Sivabovorn, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3714 Briar Ln, Hazel Crest, IL 60429 Phone: 708-798-9397 |