Michael Robert Fettiplace, MD,PHD | |
1740 W Taylor St, Chicago, IL 60612-7232 | |
(410) 900-4498 | |
Not Available |
Full Name | Michael Robert Fettiplace |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 7 Years |
Location | 1740 W Taylor St, Chicago, 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 |
---|---|---|---|
1326578568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 271185 (Massachusetts) | Secondary |
207L00000X | Anesthesiology | 036166732 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Illinois Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Michael Robert Fettiplace, MD,PHD Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Ph: (617) 726-3030 | Michael Robert Fettiplace, MD,PHD 1740 W Taylor St, Chicago, IL 60612-7232 Ph: (410) 900-4498 |
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