| Michael Kulisz, DO | |
| 626 Bethany Rd, Dekalb, IL 60115-4939 | |
| (815) 756-1521 | |
| Not Available | 
| Full Name | Michael Kulisz | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 626 Bethany Rd, Dekalb, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760536700 | NPI | - | NPPES | 
| 098603 | Other | IL | HEALTH ALLIANCE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Kulisz, DO 2807 Brittany Ct, St Charles, IL 60175-5161 Ph: (630) 377-8944 | Michael Kulisz, DO 626 Bethany Rd, Dekalb, IL 60115-4939 Ph: (815) 756-1521 | 
| Nina L Taylor, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 W Lincoln Hwy, Northern Illinois University / Health Services, Dekalb, IL 60115 Phone: 815-753-1311 | |
| Jeanne M Johnston, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 626 Bethany Rd, Dekalb, IL 60115 Phone: 815-756-1521 | |
| Dr. David Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 | |
| Michael Devisser, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
| Dr. Talha Ahmed, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
| Michael S Hohlastos, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 Fax: 815-748-2978 | |
| Michael Hagstrom, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |