| Sydney Dautel, | |
| 
					1740 W Taylor St, Chicago, IL 60612  | |
| (312) 996-7006 | |
| Not Available | 
| Full Name | Sydney Dautel | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 1740 W Taylor St, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902469521 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036164916 (Illinois) | Primary | 
| Entity Name | The Board Of Trustees Of The University Of Illinois | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154541936 PECOS PAC ID: 3072422716 Enrollment ID: O20031201000021  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sydney Dautel, 820 S Wood St., Mc808, Chicago, IL 60612 Ph: (312) 996-7006  | Sydney Dautel, 1740 W Taylor St, Chicago, IL 60612 Ph: (312) 996-7006  | 
Elizabeth Isak,  Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-8811 Fax: 312-926-8855  | |
Anna Martha Chichura, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 312-355-1989  | |
Malavika Kalyani Perinchery, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 Phone: 773-834-0598  | |
Margaret C Schermerhorn, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000  | |
Emily Gaffney Gleason,  Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000  | |
Maria Teresa Tam, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657 Phone: 773-904-8641 Fax: 872-888-1206  | |
Mr. Clyde Harris Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8234 S. Ashland Avenue, Chicago, IL 60620 Phone: 773-874-1400 Fax: 773-874-9245  |