| Arielle Douglas, PHYSICIAN ASSISTANT | |
|
2800 S California Ave, Chicago, IL 60608-5107 | |
| (773) 764-7488 | |
| Not Available |
| Full Name | Arielle Douglas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2800 S California Ave, 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 |
|---|---|---|---|
| 1093216855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA11748 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 085.006499 (Illinois) | Primary |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Midwest Orthopaedics at Rush LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811942451 PECOS PAC ID: 0244143196 Enrollment ID: O20040706000709 |
| Entity Name | Innovative Platinum Care, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114397056 PECOS PAC ID: 7012210461 Enrollment ID: O20160120000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Arielle Douglas, PHYSICIAN ASSISTANT 2800 S California Ave, Chicago, IL 60608-5107 Ph: Not Available | Arielle Douglas, PHYSICIAN ASSISTANT 2800 S California Ave, Chicago, IL 60608-5107 Ph: (773) 764-7488 |
Jeremy Larva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 13, Chicago, IL 60611 Phone: 312-695-6800 Fax: 312-695-2772 |
Ms. Rose F. Ali, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 659 W Washington Blvd, Chicago, IL 60661 Phone: 312-707-8988 Fax: 312-707-9223 |
Marina Gershteyn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5600 W Addison St Ste 306, Chicago, IL 60634 Phone: 773-283-8664 Fax: 773-283-8688 |
Kelly M Hoyert, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, 3f Occ, Chicago, IL 60612 Phone: 312-355-4300 Fax: 312-413-1206 |
Gabriela A Cortez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4646 N Marine Dr Ste C6100, Chicago, IL 60640 Phone: 773-564-6025 Fax: 773-564-6026 |
Maria Uhler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 635 N Dearborn St, Chicago, IL 60654 Phone: 312-694-2273 |
Emily Daley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 939 W North Ave Ste 650, Chicago, IL 60642 Phone: 773-377-8000 |