| Trevor W Avella, PA-C | |
|
15300 West Ave Ste 122, Orland Park, IL 60462-4508 | |
| (708) 923-4400 | |
| (708) 923-4421 |
| Full Name | Trevor W Avella |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 15300 West Ave Ste 122, Orland Park, 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 |
|---|---|---|---|
| 1447761085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085006407 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085006407 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palos Community Hospital | Palos heights, IL | Hospital |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| Central Dupage Physician Group | 5890696231 | 1087 |
| 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 | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| 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 |
|---|---|
| Trevor W Avella, PA-C 15300 West Ave Ste 122, Orland Park, IL 60462-4508 Ph: (708) 923-4400 | Trevor W Avella, PA-C 15300 West Ave Ste 122, Orland Park, IL 60462-4508 Ph: (708) 923-4400 |
Amanda Pollock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16001 108th Ave, Orland Park, IL 60467 Phone: 708-460-0007 |
Jessica Gewont, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10640 165th St, Orland Park, IL 60467 Phone: 708-364-0261 |
Sara A Hill, Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Orland Square Dr Ste 101, Orland Park, IL 60462 Phone: 630-914-5145 |
Natalie Gevaudan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10745 165th St, Orland Park, IL 60467 Phone: 708-554-6616 |
Mejd Al-kurdi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8208 W 141st St, Orland Park, IL 60462 Phone: 312-929-7351 |
Sylvia Kordaczka, Physician Assistant Medicare: Medicare Enrolled Practice Location: 16045 108th Ave Ste C, Orland Park, IL 60467 Phone: 708-981-3901 |
Yara M Elboghdady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 122, Orland Park, IL 60462 Phone: 708-403-8400 Fax: 708-403-8492 |