Cathy A Divincenzo, MD | |
4709 Golf Rd Ste 900, Skokie, IL 60076 | |
(847) 676-5394 | |
(847) 679-7183 |
Full Name | Cathy A Divincenzo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4709 Golf Rd Ste 900, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407852817 | NPI | - | NPPES |
036099031 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036099031 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Cathy A Divincenzo, MD 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 Ph: (847) 676-5394 | Cathy A Divincenzo, MD 4709 Golf Rd Ste 900, Skokie, IL 60076 Ph: (847) 676-5394 |
Carly Stokar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3722 W Touhy Ave, Suite 101, Skokie, IL 60067 Phone: 312-227-2860 | |
Dr. Michael Perry Rosenbaum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8163 Fax: 847-663-1024 | |
Pauline Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183 | |
Dr. Katherine L Shepherd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183 | |
Angelica Revis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8163 | |
Dr. James Joseph Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9631 Gross Point Rd, Suite 2, Skokie, IL 60076 Phone: 847-677-7250 Fax: 847-677-7251 | |
Sun-bum Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Ste 403, Skokie, IL 60076 Phone: 847-674-4730 Fax: 847-674-4732 |