| Michael Alan King, MD | |
|
1225 West Lake Street, Melrose Park, IL 60160 | |
| (708) 681-3000 | |
| (708) 783-0920 |
| Full Name | Michael Alan King |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1225 West Lake Street, Melrose Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487781381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D0064298 (Maryland) | Secondary |
| 207L00000X | Anesthesiology | 0101239546 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | 36113361 (Illinois) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1578638425 PECOS PAC ID: 3779495858 Enrollment ID: O20040805001280 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1366781700 PECOS PAC ID: 3779495858 Enrollment ID: O20130507000207 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497023188 PECOS PAC ID: 3779495858 Enrollment ID: O20131029000108 |
| Entity Name | Medstar Medical Group Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Alan King, MD 3998 Fair Ridge Drive, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360 | Michael Alan King, MD 1225 West Lake Street, Melrose Park, IL 60160 Ph: (708) 681-3000 |
Tamara Rendulic, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1225 W Lake St, Westlake Hospital / Anesthesia Department, Melrose Park, IL 60160 Phone: 708-681-3000 | |
Evin Aryan Koleini, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-538-4934 Fax: 708-538-5328 | |
Steve In-hyuk Ro, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 312-560-2655 | |
John Paul Sims, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3202 | |
Rebecca Aureus, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 West North Avenue, Melrose Park, IL 60160 Phone: 708-681-3202 | |
William G Grehan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3202 |