Dr Colleen Elizabeth Mcshane, DDS | |
2650 Ridge Ave, Walgreen Bldg., Suite 2507, Evanston, IL 60201-1718 | |
(847) 570-2461 | |
Not Available |
Full Name | Dr Colleen Elizabeth Mcshane |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 2650 Ridge Ave, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720468721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 018001938 (Illinois) | Primary |
Entity Name | Pcc Community Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
Mailing Address | Practice Location Address |
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Dr Colleen Elizabeth Mcshane, DDS 244 Forest Ave, Roselle, IL 60172-2918 Ph: (630) 788-8375 | Dr Colleen Elizabeth Mcshane, DDS 2650 Ridge Ave, Walgreen Bldg., Suite 2507, Evanston, IL 60201-1718 Ph: (847) 570-2461 |
Hala S Killidar, DDS Dentist Medicare: Medicare Enrolled Practice Location: 820 Davis St, Suite 460, Evanston, IL 60201 Phone: 847-332-2226 Fax: 847-332-1683 | |
Dr. Ashley Yuen-ling Chan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2805 Central St, Evanston, IL 60201 Phone: 224-420-7022 Fax: 224-420-7023 | |
Stephanie A Nguyen, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 Phone: 847-570-2369 | |
Adeniji Bowden, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2611 Broadway Ave, Evanston, IL 60201 Phone: 773-263-6517 | |
Dr. Robert Bruce Stephens, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1560 Sherman Avenue Suite # 807, Stephens Dentistry, Evanston, IL 60201 Phone: 847-864-8151 | |
Dr. Kirk Bennewitz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Davis St, #504, Evanston, IL 60201 Phone: 847-491-1011 | |
Peter Monaghan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1800 Sherman Ave Ste 517, Evanston, IL 60201 Phone: 847-475-6300 Fax: 847-475-6560 |