Dr Charles A Thorsen Iii, MD | |
909 Davis St, Evanston, IL 60201-3664 | |
(847) 866-3700 | |
(847) 866-3746 |
Full Name | Dr Charles A Thorsen Iii |
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Gender | Male |
Speciality | Internal Medicine |
Location | 909 Davis St, 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 |
---|---|---|---|
1578540985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Dr Charles A Thorsen Iii, MD 909 Davis St, Evanston, IL 60201-3664 Ph: (847) 866-3700 | Dr Charles A Thorsen Iii, MD 909 Davis St, Evanston, IL 60201-3664 Ph: (847) 866-3700 |
James Francis Kelly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Ashley Rachel Mohan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Andie Kwon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822 | |
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128 | |
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 | |
Neal N. Dodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171 |