| Michael Pendergast Jr, PA-C | |
|
9701 W Higgins Rd Ste 270, Rosemont, IL 60018-4703 | |
| (847) 692-3715 | |
| (815) 986-4218 |
| Full Name | Michael Pendergast Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 9701 W Higgins Rd Ste 270, Rosemont, 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 |
|---|---|---|---|
| 1427525666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085006827 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dupage Emergency Physicians Convenient Care Llc | 6608840046 | 30 |
| Physicians Immediate Care North Chicago Llc | 8729064159 | 256 |
| Entity Name | Dupage Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255323481 PECOS PAC ID: 6507854288 Enrollment ID: O20040503000606 |
| 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 |
| Entity Name | Dupage Emergency Physicians Convenient Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922000363 PECOS PAC ID: 6608840046 Enrollment ID: O20040823000566 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Pendergast Jr, PA-C 1010 Curtiss St Apt B1, Downers Grove, IL 60515-4518 Ph: (309) 331-3448 | Michael Pendergast Jr, PA-C 9701 W Higgins Rd Ste 270, Rosemont, IL 60018-4703 Ph: (847) 692-3715 |
Amani Jamil Elayan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9701 W Higgins Rd Ste 270, Rosemont, IL 60018 Phone: 815-654-2300 |
Sonam Tantuwaya, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9701 W Higgins Rd Ste 270, Rosemont, IL 60018 Phone: 847-653-0130 |
Darcy Ituarte, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9701 W Higgins Rd Ste 270, Rosemont, IL 60018 Phone: 847-653-0145 |