| Lance D Holemon, MD | |
|
1653 W Congress Pkwy, Chicago, IL 60612-3833 | |
| (312) 421-4821 | |
| (312) 421-4208 |
| Full Name | Lance D Holemon |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 40 Years |
| Location | 1653 W Congress Pkwy, Chicago, 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 |
|---|---|---|---|
| 1215056296 | NPI | - | NPPES |
| 31603527 | Other | IL | BCBS ILLINOIS |
| P00130149 | Other | RAILROAD MEDICARE | |
| 036076493 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036076493 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush University Medical Group | 5496658874 | 1134 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance D Holemon, MD 1335 W Chicago Ave, Chicago, IL 60622-5761 Ph: (312) 421-4821 | Lance D Holemon, MD 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (312) 421-4821 |
Andrea Catalina Pardo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave # 51, Chicago, IL 60611 Phone: 312-227-3550 | |
Moanis Karam Hilmy Bastawrous, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3003 Green Bay Road, Chicago, IL 60064 Phone: 347-228-8628 | |
Fernando Espi Forcen, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2150w Harrison St, Chicago, IL 60612 Phone: 312-942-5375 | |
Bernadette Mari Schoneburg, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17 25 West Harrison Street, Professional Building I Suite 1106, Chicago, IL 60612 Phone: 312-942-5000 | |
Dr. Neepa J Patel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 755, Chicago, IL 60612 Phone: 312-563-2030 Fax: 312-563-2024 | |
Dr. Marley Ann Doyle, M/D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Galter 3-150, C, Chicago, IL 60611 Phone: 312-926-6895 | |
Dr. David Eugene Klein, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, Chicago, IL 60640 Phone: 773-561-7500 |