| Tyler Thai Dinh Le, PA-C | |
|
707 Lake Cook Rd Ste 280, Deerfield, IL 60015-5255 | |
| (847) 480-0004 | |
| (847) 480-8707 |
| Full Name | Tyler Thai Dinh Le |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 707 Lake Cook Rd Ste 280, Deerfield, 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 |
|---|---|---|---|
| 1831905124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085011055 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Endeavor Health Clinical Operations | Evanston, IL | Hospital |
| Swedish Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Thai Dinh Le, PA-C 707 Lake Cook Rd Ste 280, Deerfield, IL 60015-5255 Ph: (847) 480-0004 | Tyler Thai Dinh Le, PA-C 707 Lake Cook Rd Ste 280, Deerfield, IL 60015-5255 Ph: (847) 480-0004 |
Alexandra Marie Cooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Lake Cook Rd Ste 280, Deerfield, IL 60015 Phone: 847-480-0004 Fax: 847-480-8707 |
Morgan D Nixon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Lake Cook Rd Ste 280, Deerfield, IL 60015 Phone: 847-480-0004 Fax: 847-480-8707 |