| Monica Logan, MD | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (708) 799-8000 | |
| Not Available |
| Full Name | Monica Logan |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, 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 |
|---|---|---|---|
| 1568923498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036.158564 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 82391-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockford Health Physicians | 2567374036 | 362 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Entity Name | Emergency Medical Associates Of Palos, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285918128 PECOS PAC ID: 1052578366 Enrollment ID: O20120127000880 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Logan, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-8000 | Monica Logan, MD 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 799-8000 |
Dr. Ronald Lawton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429 Phone: 773-363-1090 | |
Lindy Triebes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Dr. Kevin Tom, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 773-967-4205 | |
Veronica W Robinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Gameli Dekayie Bush, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Dr. Nadija Mara Rieser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Zakia Haseena Ali, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 |