| Mary Mcmullan, | |
|
3333 Green Bay Rd, North Chicago, IL 60064-3037 | |
| (847) 578-3000 | |
| Not Available |
| Full Name | Mary Mcmullan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 3333 Green Bay Rd, North Chicago, 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 |
|---|---|---|---|
| 1386385649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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 |
| The University Of Chicago Medical Center | 7618880766 | 907 |
| 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 | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Mcmullan, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: Not Available | Mary Mcmullan, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: (847) 578-3000 |
Mr. Biju Cherian, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, Captain James A. Lowell Fhcc, Dept. Of Cardiology, North Chicago, IL 60064 Phone: 224-610-8201 |
Miss Karen Susanne Tabor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 618-997-5311 |
Regina C Chen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3471 Green Bay Rd, North Chicago, IL 60064 Phone: 847-473-4357 Fax: 847-578-8671 |
Corinne M. Hansen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 N Waukegan Rd, North Chicago, IL 60064 Phone: 847-936-5800 |
Amber Marie Haas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 802-730-4182 |
Mr. James Martin Kedrow, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-6755 |
Danny Pancirer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 847-578-3000 |