| Samuel J Traverso, DO | |
|
5201 Willow Springs Rd Ste 300, La Grange Highlands, IL 60525-6539 | |
| (708) 482-8088 | |
| (708) 482-9034 |
| Full Name | Samuel J Traverso |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5201 Willow Springs Rd Ste 300, La Grange Highlands, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902464647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036160173 (Illinois) | Primary |
| Entity Name | Family Medical Center Of Lagrange Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649355793 PECOS PAC ID: 0749243939 Enrollment ID: O20041109000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel J Traverso, DO 5201 Willow Springs Rd Ste 300, La Grange Highlands, IL 60525-6539 Ph: (708) 482-8088 | Samuel J Traverso, DO 5201 Willow Springs Rd Ste 300, La Grange Highlands, IL 60525-6539 Ph: (708) 482-8088 |
Tumendemberel Byambaa, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5201 Willow Springs Rd Ste 160, La Grange Highlands, IL 60525 Phone: 708-354-0920 | |
Mr. Daniel Chen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, Suite 300, La Grange Highlands, IL 60525 Phone: 708-482-8088 Fax: 708-482-9034 | |
Mr. Scott Duncan Robertson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd Ste 180, La Grange Highlands, IL 60525 Phone: 708-929-6099 Fax: 708-929-6169 | |
Saba Farhin Osmani, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5201 Willow Springs Rd Ste 160, La Grange Highlands, IL 60525 Phone: 708-245-8120 | |
Dr. Michael Francis Dupont, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, Suite 300, La Grange Highlands, IL 60525 Phone: 708-482-8088 Fax: 708-482-9034 | |
Mr. Chimanbhai Kalidas Patel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6555 Willow Springs Rd, Ste 6, La Grange Highlands, IL 60525 Phone: 708-579-4900 |