| Ross Tannebaum, MD | |
|
333 Madison St, Joliet, IL 60435-8200 | |
| (815) 725-7133 | |
| Not Available |
| Full Name | Ross Tannebaum |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 333 Madison St, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861492225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01039740A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036070070 (Illinois) | Primary |
| 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 | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Tannebaum, MD Po Box 2669, Joliet, IL 60434-2669 Ph: (815) 726-6860 | Ross Tannebaum, MD 333 Madison St, Joliet, IL 60435-8200 Ph: (815) 725-7133 |
Dr. Christopher D. Berg, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 | |
Susan Demick, FNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Silver Cross Hospital, 1200 Maple Road, Joliet, IL 60432 Phone: 815-740-1100 | |
Dr. Kurtis Alexander Mayz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 | |
Matthew Nitsche, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 | |
Albert C Song, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 | |
Wael Mctabi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1719 Glenwood Ave, Joliet, IL 60435 Phone: 815-741-3532 | |
Edwin Veguilla, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 |