| Tyler James Miksanek, MD | |
|
303 W Lake St Ste 200, Addison, IL 60101-2500 | |
| (331) 221-9001 | |
| (331) 221-3971 |
| Full Name | Tyler James Miksanek |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 303 W Lake St Ste 200, Addison, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194468447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036173563 (Illinois) | Primary |
| 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 |
|---|---|
| Tyler James Miksanek, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Tyler James Miksanek, MD 303 W Lake St Ste 200, Addison, IL 60101-2500 Ph: (331) 221-9001 |
Ricardo Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Ekta Ohri, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Lake St, Suite 100, Addison, IL 60101 Phone: 630-516-0434 Fax: 630-516-0419 | |
Anastasia Munoz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Brian Steven Koecher, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Lake St, Suite 100, Addison, IL 60101 Phone: 630-516-0434 Fax: 630-516-0419 | |
Dr. Alejandro Gonzalez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1034 N Rohlwing Rd Ste 33, Addison, IL 60101 Phone: 708-745-5743 Fax: 630-208-0522 | |
Manpreet Aujla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N Rohlwing Rd Ste 335, Addison, IL 60101 Phone: 630-432-6800 Fax: 630-208-0522 |