Michael S Dewolfe (NPI# 1538307566, PAC ID# 7618027962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1538307566 |
| PAC ID by PECOS | 7618027962 |
| Professional Enrollment ID | I20090625000357 |
| Full Name | Michael S Dewolfe |
| Organization Legal Name | L MEDICINE PHYSICIAN GROUP LLC |
| Address |
3357 N Southport Ave Chicago IL 60657-1440 |
| Phone Number | 7735984440 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 6305109547 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140054 | MACNEAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3357 N Southport Ave, Chicago, IL 60657-1440 | 7735984440 | L MEDICINE PHYSICIAN GROUP LLC |
| Organization Legal Name | L MEDICINE PHYSICIAN GROUP LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Linn Totonchi | Obstetrics/gynecology | L Medicine Physician Group LLC | 6187 S Archer Ave, Suite 102, Chicago, IL 60638-2605 |
| Christina Arellano | Family Medicine | L Medicine Physician Group LLC | 5700 W Cermak Rd, Cicero, IL 60804-2128 |
| Manohar L Jethani | Family Medicine | L Medicine Physician Group LLC | 3635 S Harlem Ave, Berwyn, IL 60402-3212 |
| Elsa Valero | Family Medicine | L Medicine Physician Group LLC | 6425 Cermak Rd, Suite 101, Berwyn, IL 60402-4602 |
| Janis Wiener | Internal Medicine | L Medicine Physician Group LLC | 7411 Lake St, Bldg A, River Forest, IL 60305-1876 |
| Tariq B Iftikhar | Orthopedic Surgery | L Medicine Physician Group LLC | 7020 W 79th St, Bridgeview, IL 60455-4030 |
| Steve Michel | Internal Medicine | L Medicine Physician Group LLC | 47 6th Ave, Suite 1, La Grange, IL 60525-2499 |
| Allyson M Lucero | Nurse Practitioner | L Medicine Physician Group LLC | 3231 Euclid Ave, Suite 403, Berwyn, IL 60402-3472 |
| Rajni Srivastava | Obstetrics/gynecology | L Medicine Physician Group LLC | 47 6th Ave, Suite M, La Grange, IL 60525-5637 |
| Shilpa V Desai | Internal Medicine | L Medicine Physician Group LLC | 47 6th Ave, Suite N, La Grange, IL 60525-5637 |
| Street Address |
3357 N SOUTHPORT AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60657-1440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey L Frederick | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Stephanie L Lyons | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Alaina R Bandstra | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Dominic M Maino | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Thomas Cohen | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Michael J Dubick | Chiropractic | 3250 N Lincoln Ave, Suite 1, Chicago, IL 60657-1192 | |
| Eric T Niwinski | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Shannan M Vanantwerp | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Lauren E Buck | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| James Hayes | Clinical Social Worker | 3409 N Paulina St, Chicago, IL 60657-1220 | |
| Find all physicians in zip 60657 | |||
| City | CHICAGO |
| Zip Code | 60657 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | CHICAGO + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Michael S Dewolfe.
| 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.