Robert Gasior, MD | |
11560 S Kedzie Ave, Suite 100, Merrionette Park, IL 60803-4517 | |
(708) 371-3105 | |
(708) 390-2105 |
Full Name | Robert Gasior |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 11560 S Kedzie Ave, Merrionette Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942286984 | NPI | - | NPPES |
01621679 | Other | IL | BCBS OF IL |
P00000362 | Other | IL | RAILROAD MEDICARE KANKAKEE |
060042342 | Other | IL | RAILROAD MEDICARE COOK |
01621208 | Other | IL | BLUECROSSBLUESHIELD |
036041857 | Medicaid | IL | |
CD8033 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
CG1672 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036041857 (Illinois) | Primary |
208600000X | Surgery | 036041857 (Illinois) | Secondary |
Entity Name | Heart Care Centers Of Illinois, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508810086 PECOS PAC ID: 6103738810 Enrollment ID: O20031103000069 |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Entity Name | Mercy Hospital & Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215914791 PECOS PAC ID: 7618861105 Enrollment ID: O20040216000053 |
Mailing Address | Practice Location Address |
---|---|
Robert Gasior, MD 11560 S Kedzie Ave, Suite 100, Merrionette Park, IL 60803-4517 Ph: (708) 371-3105 | Robert Gasior, MD 11560 S Kedzie Ave, Suite 100, Merrionette Park, IL 60803-4517 Ph: (708) 371-3105 |