| Kristine Bowersox, PA-C | |
|
1775 Dempster St Ste E592c, Park Ridge, IL 60068-1143 | |
| (312) 609-0300 | |
| Not Available |
| Full Name | Kristine Bowersox |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1775 Dempster St Ste E592c, Park Ridge, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992139281 | NPI | - | NPPES |
| 100410618 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8884 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 085004671 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Chicago | 7719899426 | 1674 |
| 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 | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| 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 | Suleman J. Bangash D.O.S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841469830 PECOS PAC ID: 8729165006 Enrollment ID: O20080410000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Bowersox, PA-C 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Kristine Bowersox, PA-C 1775 Dempster St Ste E592c, Park Ridge, IL 60068-1143 Ph: (312) 609-0300 |
Ms. Stacey K Vilione, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-692-7915 |
Tara Lykowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 S Northwest Hwy Ste 100, Park Ridge, IL 60068 Phone: 773-631-7898 Fax: 773-631-3005 |
Benjamin D Albrecht, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1550 N Northwest Hwy Ste 220, Park Ridge, IL 60068 Phone: 847-824-3198 Fax: 847-824-1291 |
Alyssa Ann Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-5043 |
Sarah Motta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 Fax: 847-723-2041 |
Molly Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 |
Laura Caitlin Clark, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 417 N Northwest Hwy Apt 2f, Park Ridge, IL 60068 Phone: 337-207-4301 |