| Konstantins Kociasvili, MD | |
|
3633 W Lake Ave Ste 307, Glenview, IL 60026-5803 | |
| (847) 626-8722 | |
| (847) 316-9502 |
| Full Name | Konstantins Kociasvili |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 3633 W Lake Ave Ste 307, Glenview, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588854848 | NPI | - | NPPES |
| 125052607 | Other | IL | 125052607 |
| 036135325 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 036135325 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Community First Medical Center | Chicago, IL | Hospital |
| Entity Name | Community First Healthcare Of Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881059897 PECOS PAC ID: 2860716685 Enrollment ID: O20160104001552 |
| Entity Name | Prime Medical Clinic Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659815074 PECOS PAC ID: 1355622176 Enrollment ID: O20170109003261 |
| Entity Name | Health Box Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235952318 PECOS PAC ID: 1850828179 Enrollment ID: O20241227002568 |
| Mailing Address | Practice Location Address |
|---|---|
| Konstantins Kociasvili, MD 333 W Dundee Rd, Buffalo Grove, IL 60089-3545 Ph: (847) 243-0355 | Konstantins Kociasvili, MD 3633 W Lake Ave Ste 307, Glenview, IL 60026-5803 Ph: (847) 626-8722 |
Martin Kovachevich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd, Suite 330, Glenview, IL 60026 Phone: 847-998-4100 Fax: 847-998-8439 | |
Leslie Mendoza Temple, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Chestnut Ave, Suite A, Glenview, IL 60026 Phone: 847-657-3540 Fax: 847-657-3521 | |
Dr. Deborah Elizabeth Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd Ste 200, Glenview, IL 60026 Phone: 847-657-1820 Fax: 847-657-1823 | |
Khaldoun Dalbik, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050 Pfingsten Rd, Glenview, IL 60026 Phone: 847-657-1810 | |
Dr. Ezechinyerem D Uzosike, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026 Phone: 847-657-1840 Fax: 847-657-1823 | |
Rachael Libertin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2050 Pfingsten Rd, Glenview, IL 60026 Phone: 847-657-1812 | |
Esther Francine Vergara, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1255 Milwaukee Ave, Glenview, IL 60025 Phone: 847-294-5490 Fax: 847-294-5496 |