| Ryon Michael Hennessy, MD | |
|
360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126-5068 | |
| (630) 782-9600 | |
| (630) 782-1643 |
| Full Name | Ryon Michael Hennessy |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 360 W Butterfield Rd, Elmhurst, 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 |
|---|---|---|---|
| 1093717480 | NPI | - | NPPES |
| 02222323 | Other | IL | BCBS |
| 036093298 | Medicaid | IL | |
| 200028061 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036-093298 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Orthopedic Specialists Sc | 4688622939 | 10 |
| Entity Name | Elmhurst Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457493454 PECOS PAC ID: 9638168602 Enrollment ID: O20040506001298 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Orthopedic Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427123926 PECOS PAC ID: 4688622939 Enrollment ID: O20050104000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryon Michael Hennessy, MD 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126-5068 Ph: (630) 782-9600 | Ryon Michael Hennessy, MD 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126-5068 Ph: (630) 782-9600 |
John W Nikoleit, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 W Butterfield Rd, Elmhurst, IL 60126 Phone: 630-834-0491 | |
Dr. Richard A Brash, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 S York Rd, Suite 4250, Elmhurst, IL 60126 Phone: 630-758-8820 | |
Daryl Len Oconnor, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126 Phone: 630-782-9600 Fax: 630-782-1643 | |
Denise Theresa Ibrahim, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 133 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 630-501-0630 | |
Dr. Kevin Chingyun Tu, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S York Rd, Suite 4190, Elmhurst, IL 60126 Phone: 630-782-1174 Fax: 773-275-2443 | |
Alvin Monnie Kanter, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126 Phone: 630-782-9600 Fax: 630-782-1643 |