| Stephen M Kelanic, MD, FACS | |
|
2040 Ogden Ave Ste 401, Aurora, IL 60504-7208 | |
| (630) 978-6895 | |
| (630) 375-2905 |
| Full Name | Stephen M Kelanic |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 2040 Ogden Ave Ste 401, Aurora, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265451140 | NPI | - | NPPES |
| 4506907 | Other | IL | BLUE CROSS BLUE SHIELD |
| 040017903 | Other | IL | RAIL ROAD MEDICARE |
| H08942 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036099831 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Copley Memorial Hospital Inc | 4587656921 | 49 |
| Entity Name | Rush-copley Medical Group Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093075848 PECOS PAC ID: 7618864877 Enrollment ID: O20040310001029 |
| Entity Name | Copley Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619466034 PECOS PAC ID: 4587656921 Enrollment ID: O20180530001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Kelanic, MD, FACS 2040 Ogden Ave Ste 401, Aurora, IL 60504-7208 Ph: (630) 978-6895 | Stephen M Kelanic, MD, FACS 2040 Ogden Ave Ste 401, Aurora, IL 60504-7208 Ph: (630) 978-6895 |
Robert J Nudera, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2040 Ogden Ave, Suite 301, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-375-2905 | |
Dr. Sanjiv Upadhyay, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 2040 Ogden Ave Ste 401, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-753-2905 | |
Michael C Loebach, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
David Sarcu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
Richard L Kersch, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
Bryan W Rubach, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2040 Ogden Ave Ste 301, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-375-2905 |