Mark E Nunnally, MD | |
180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | |
(773) 834-4064 | |
Not Available |
Full Name | Mark E Nunnally |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 26 Years |
Location | 180 Harvester Dr Ste 110, Burr Ridge, 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 |
---|---|---|---|
1144385360 | NPI | - | NPPES |
036104037 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | 036104037 (Illinois) | Secondary |
207L00000X | Anesthesiology | 036104037 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
New York University Langone Medical Center | New york, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New York University | 1355232422 | 4431 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
---|---|
Mark E Nunnally, MD 5841 S Maryland Ave # Mc1099, Chicago, IL 60637-1447 Ph: () - | Mark E Nunnally, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 834-4064 |
Dr. Jared Paul Hansen, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 S 551 Madison St, Burr Ridge, IL 60527 Phone: 217-766-3205 | |
Andrea Shashoua, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
William G Conrad, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Bruce D Schreider, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Samuel Golden, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Dusan Vucicevic, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6856 Fieldstone Dr, Burr Ridge, IL 60527 Phone: 630-258-2073 Fax: 630-325-8445 |