| Michelle Jolie Chastain, MD | |
|
4440 W 95th St, 185w, Oak Lawn, IL 60453-2600 | |
| (708) 684-5375 | |
| (708) 684-1028 |
| Full Name | Michelle Jolie Chastain |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174835359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036.132271 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Jolla Emergency Specialists | 1153552039 | 15 |
| La Jolla Observation Medicine | 2365727492 | 23 |
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Emergency Services Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699725069 PECOS PAC ID: 6204720196 Enrollment ID: O20051215000870 |
| Entity Name | La Jolla Emergency Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710315353 PECOS PAC ID: 1153552039 Enrollment ID: O20140317001669 |
| Entity Name | La Jolla Observation Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780122986 PECOS PAC ID: 2365727492 Enrollment ID: O20170331001702 |
| Entity Name | Emergency Services Medical Corporation Coronado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598395675 PECOS PAC ID: 3779904438 Enrollment ID: O20200604001390 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jolie Chastain, MD 4440 W 95th St, 185w, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 | Michelle Jolie Chastain, MD 4440 W 95th St, 185w, Oak Lawn, IL 60453-2600 Ph: (708) 684-5375 |
Michael Cirone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 Fax: 708-684-1028 | |
Peter Peraud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4077 | |
Dr. Thomas Kevin Seagraves, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Dr. Timothy Koplik Henderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 | |
Elizabeth Kunjummen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Ms. Meghan Maureen Hurley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Nicolas Kettaneh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 |