| Longcheng Su, MD | |
|
875 S Route 31, Crystal Lake, IL 60014-8190 | |
| (779) 220-5500 | |
| Not Available |
| Full Name | Longcheng Su |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 875 S Route 31, Crystal Lake, 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 |
|---|---|---|---|
| 1235167834 | NPI | - | NPPES |
| 036103793 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036-103793 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| 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: O20031111000307 |
| Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Longcheng Su, MD 29624 Network Pl, Chicago, IL 60673-1296 Ph: (608) 756-6278 | Longcheng Su, MD 875 S Route 31, Crystal Lake, IL 60014-8190 Ph: (779) 220-5500 |
Saleem Iqbal Qureshi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 844 Grandview Dr, Crystal Lake, Crystal Lake, IL 60014 Phone: 309-344-3161 | |
Holly S Carobene, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr Ste 100, Crystal Lake, IL 60014 Phone: 815-477-0174 | |
Dr. Lawrence Merion Lavine, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 S Virginia St, Crystal Lake, IL 60014 Phone: 260-414-4990 |