| Mark Lyon, MD | |
|
2850 W 95th St Ste 106, Evergreen Park, IL 60805-2703 | |
| (708) 888-8287 | |
| (708) 274-4027 |
| Full Name | Mark Lyon |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 2850 W 95th St Ste 106, Evergreen Park, 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 |
|---|---|---|---|
| 1831300748 | NPI | - | NPPES |
| P00467991 | Other | MEDICARE RAILROAD PTAN | |
| 02232706 | Other | BCBS | |
| DG0826 | Other | MEDICARE RAILROAD GROUP NUMBER | |
| 211475 | Other | MEDICAN PTAN | |
| 036116228 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036116228 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uropartners Llc | 9436182946 | 123 |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Entity Name | Uropartners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073567905 PECOS PAC ID: 9436182946 Enrollment ID: O20050915000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Lyon, MD 2850 W 95th St Ste 106, Evergreen Park, IL 60805-2703 Ph: (708) 888-8287 | Mark Lyon, MD 2850 W 95th St Ste 106, Evergreen Park, IL 60805-2703 Ph: (708) 888-8287 |
Dr. Frederick Edward Wohlberg, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9760 S Kedzie Ave, Suite 6, Evergreen Park, IL 60805 Phone: 708-425-0112 Fax: 708-425-2785 | |
James A Sylora, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St Ste 106, Evergreen Park, IL 60805 Phone: 708-888-8287 Fax: 708-422-2270 | |
Herme O Sylora, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2850 W 95th St, Suite 302, Evergreen Park, IL 60805 Phone: 708-422-2242 Fax: 708-422-2270 | |
Dr. David Lee Zumerchik, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St Ste 106, Evergreen Park, IL 60805 Phone: 708-888-8287 |