| Brandon C John, PA-C | |
|
456 25th Ave, Bellwood, IL 60104-1961 | |
| (708) 467-7254 | |
| Not Available |
| Full Name | Brandon C John |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 456 25th Ave, Bellwood, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982016325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.006607 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Loyola Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Pc | 7517109879 | 227 |
| Entity Name | Illinois Emergency Medicine Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
| Entity Name | Oak Street Health Physicians Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon C John, PA-C Po Box 746715, Atlanta, GA 30374-6715 Ph: (773) 352-1515 | Brandon C John, PA-C 456 25th Ave, Bellwood, IL 60104-1961 Ph: (708) 467-7254 |
Mr. Brian B Minardi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2615 Harrison St, Bellwood, IL 60104 Phone: 708-493-0299 Fax: 708-493-0594 |
Richard L Dahl, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2615 Harrison St, Bellwood, IL 60104 Phone: 708-493-0199 Fax: 708-493-9683 |
Marissa Wuilliez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4009 Warren Ave, Bellwood, IL 60104 Phone: 708-343-8960 |
Rachel Lynne Baugues, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2615 Harrison St, Bellwood, IL 60104 Phone: 708-493-0299 |
Alvina Shaikh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4009 Warren Ave, Bellwood, IL 60104 Phone: 708-343-1300 |