| Pauline Chou, MD | |
|
2300 N Childrens Plz, Pathology Lab, Chicago, IL 60614-3363 | |
| (773) 880-4000 | |
| Not Available |
| Full Name | Pauline Chou |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 2300 N Childrens Plz, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164422341 | NPI | - | NPPES |
| 036068444 | Medicaid | IL | |
| 021622158 | Other | IL | CMMG BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036068444 (Illinois) | Primary |
| Entity Name | Lurie Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992758544 PECOS PAC ID: 0143127761 Enrollment ID: O20031212000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Pauline Chou, MD 2300 N Childrens Plz, Box 17, Chicago, IL 60614-3363 Ph: (773) 880-4000 | Pauline Chou, MD 2300 N Childrens Plz, Pathology Lab, Chicago, IL 60614-3363 Ph: (773) 880-4000 |
Mark Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg Pavilion, Chicago, IL 60611 Phone: 312-503-8144 Fax: 312-502-8249 | |
Sandeep Gurbuxani, Pathology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Carmencita Garcia Senseng, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1900 W Polk St, Chicago, IL 60612 Phone: 312-864-7561 | |
Suman Setty, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Jayme Brentan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Dr. Megan Elizabeth Sullivan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-926-3211 | |
Dr. Brett Michael Mahon, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1750 W Harrison St, Jelke, Suite 570, Chicago, IL 60612 Phone: 312-942-5260 |