| Marco N Khiella, MD | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 852-1524 | |
| (219) 933-2288 |
| Full Name | Marco N Khiella |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 24 Joliet St, Dyer, Indiana |
| 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 |
|---|---|---|---|
| 1215498118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01090952A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036161213 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 01090952A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Illinois Llc | 1557533734 | 166 |
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992034599 PECOS PAC ID: 3678602802 Enrollment ID: O20101021000962 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco N Khiella, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Marco N Khiella, MD 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 852-1524 |
Chao Gong, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502 | |
David B Lemke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 |