Serge N Debustros (NPI# 1962402685, PAC ID# 5799698817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1962402685 |
| PAC ID by PECOS | 5799698817 |
| Professional Enrollment ID | I20101208000245 |
| Full Name | Serge N Debustros |
| Organization Legal Name | ILLINOIS RETINA ASSOCIATES S C |
| Address |
19550 Governors Hwy Suite 3600 Flossmoor IL 60422-2147 |
| Phone Number | 7086479211 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6709799810 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19550 Governors Hwy, Suite 3600, Flossmoor, IL 60422-2147 | 7086479211 | ILLINOIS RETINA ASSOCIATES S C |
| 10110 Donald S Powers Dr, 101a, Munster, IN 46321 | 2199229888 | ILLINOIS RETINA ASSOCIATES S C |
| 15300 W Ave, Suite 212 West Bldg, Orland Park, IL 60462-4600 | 7083643240 | ILLINOIS RETINA ASSOCIATES S C |
| Organization Legal Name | ILLINOIS RETINA ASSOCIATES S C |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Pollack | Ophthalmology | Illinois Retina Associates S C | 300 Barney Dr D, Joliet, IL 60435-5279 |
| Joseph M Civantos | Ophthalmology | Illinois Retina Associates S C | 71 W 156th St, Suite 400, Harvey, IL 60426-4265 |
| Kourous Attaran Rezaei | Ophthalmology | Illinois Retina Associates S C | 15300 W Ave, Suite 212 West Bldg, Orland Park, IL 60462-4600 |
| Timothy P Flood | Ophthalmology | Illinois Retina Associates S C | 25 E Washington St, Suite 301, Chicago, IL 60602-1734 |
| Sohail J Hasan | Ophthalmology | Illinois Retina Associates S C | 71 W 156th St, Suite 400, Harvey, IL 60426-4265 |
| Zac Brendan Ravage | Ophthalmology | Illinois Retina Associates S C | 1800 Hollister Dr, Suite 207, Libertyville, IL 60048-5266 |
| Street Address |
19550 GOVERNORS HWY SUITE 3600 |
| City | FLOSSMOOR |
| State | IL |
| Zip | 60422-2147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph G Thometz | Orthopedic Surgery | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 1400, Flossmoor, IL 60422-2136 |
| Daniel Alan Yohay | Nephrology | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2142 |
| Jaime S Baylock | Nephrology | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2142 |
| Howard W Robinson | Physical Medicine and Rehabilitation | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 1400, Flossmoor, IL 60422-2136 |
| Kenneth N Cline | Nephrology | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 1400, Flossmoor, IL 60422-2136 |
| Lourdes R Terrado | Nephrology | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2142 |
| Therese M Melaniphy | Nurse Practitioner | Cressa Perish Md Sc | 19550 Governors Hwy, Suite 2650, Flossmoor, IL 60422-2139 |
| Agnes Nora Harmon | Nurse Practitioner | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2142 |
| Dwayne B Buchanan | Family Medicine | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelanda Charise Hayes | Family Medicine | 19150 Kedzie Ave, Suite 207, Flossmoor, IL 60422 | |
| George M Demko | Chiropractic | Demko Chiropractic Services, P.C. | 2817 Flossmoor Rd, Flossmoor, IL 60422-1151 |
| Marie G Mckenna | Clinical Social Worker | 1038 Sterling Ave, Flossmoor, IL 60422-1200 | |
| Wendy M Schweinfurth | Optometry | 1030 Sterling Ave, Flossmoor, IL 60422-1234 | |
| Donna Kristovich | Clinical Social Worker | 2014 Vardon Ln, Flossmoor, IL 60422-1371 | |
| Jacqueline Morrey | Clinical Social Worker | Grand Prairie Services | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 |
| Lambros C Chrones | Psychiatry | Grand Prairie Services | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 |
| Ernest J Laney Iv | Diagnostic Radiology | Munster Radiology Group PC | 1602 Butterfield Rd, Flossmoor, IL 60422-1835 |
| Ronald Daniel Kunst | Diagnostic Radiology | Munster Radiology Group PC | 1602 Butterfield Rd, Flossmoor, IL 60422-1835 |
| Ramana V Yedavalli | Diagnostic Radiology | Munster Radiology Group PC | 1602 Butterfield Rd, Flossmoor, IL 60422-1835 |
| Find all physicians in zip 60422 | |||
| City | FLOSSMOOR |
| Zip Code | 60422 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | FLOSSMOOR + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Serge N Debustros.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.