Audrey Fotouhi, MD in Chicago, IL - Medicare Dermatology

Audrey Fotouhi, MD is a medicare enrolled "Dermatology" physician in Chicago, Illinois. Her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 702-1000.

Audrey Fotouhi is licensed to practice in Illinois (license number 036.169936) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811524721.

Contact Information

	Audrey Fotouhi, MD
	5841 S Maryland Ave, Chicago, IL 60637-1443
	(773) 702-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Audrey Fotouhi
Gender	Female
Speciality	Dermatology
Location	5841 S Maryland Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811524721
Provider Enumeration Date: 03/23/2020
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5193148203
Enrollment ID: I20200708002017

Medical Identifiers

Medical identifiers for Audrey Fotouhi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811524721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036.169936 (Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey Fotouhi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Audrey Fotouhi, MD 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: (773) 702-1150	Audrey Fotouhi, MD 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (773) 702-1000

Reviews and Comments

Dermatology Doctors in Chicago, IL

Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102

Audrey Fotouhi, MD - Medicare Dermatology in Chicago, IL