| Tetyana Marshall, MD | |
|
2650 Ridge Ave, Department Of Anesthesia, Evanston, IL 60201-1718 | |
| (847) 570-2760 | |
| (847) 570-2921 |
| Full Name | Tetyana Marshall |
|---|---|
| Gender | Female |
| Speciality | Pain Management |
| Experience | 5 Years |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447886528 | NPI | - | NPPES |
| 659115-011-00001 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036173099 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036173099 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Entity Name | University of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tetyana Marshall, MD 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: (888) 824-0200 | Tetyana Marshall, MD 2650 Ridge Ave, Department Of Anesthesia, Evanston, IL 60201-1718 Ph: (847) 570-2760 |
Luke S Janik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 |
Dr. Joseph Devin Roberts, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 216-276-3721 |
Dr. Kenneth Justin Naylor, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 |
Bernard Wittels, M.D., PH.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-6370 |
Kyle Petty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Dept. Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 |
Richard Gelfand, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 |
Diane Christine Goebel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 |