| Peng Ji, MD, PHD | |
|
420 E Superior St, Rubloff Building 12-172, Chicago, IL 60611-4494 | |
| (312) 503-4756 | |
| Not Available |
| Full Name | Peng Ji |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 25 Years |
| Location | 420 E Superior 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 |
|---|---|---|---|
| 1154639771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0006X | Pathology - Clinical Pathology | 125-058983 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Peng Ji, MD, PHD 303 E Chicago Ave, Ward 3-140, Chicago, IL 60611-4296 Ph: (617) 901-5198 | Peng Ji, MD, PHD 420 E Superior St, Rubloff Building 12-172, Chicago, IL 60611-4494 Ph: (312) 503-4756 |
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 |