Dr Charles Mark Braverman, MD | |
5057 Shoreline Rd, Lake Barrington, IL 60010-1700 | |
(847) 381-5005 | |
(847) 381-5036 |
Full Name | Dr Charles Mark Braverman |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5057 Shoreline Rd, Lake Barrington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316928864 | NPI | - | NPPES |
036077877 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036077877 (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 |
---|---|
Dr Charles Mark Braverman, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Charles Mark Braverman, MD 5057 Shoreline Rd, Lake Barrington, IL 60010-1700 Ph: (847) 381-5005 |
Dr. Mary J Gawronski, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5057 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-381-5005 Fax: 847-381-5036 | |
Dr. Ann L Minciotti, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5057 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-381-5005 Fax: 847-381-5036 | |
Dr. Kirsten H Kershaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5057 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-381-5005 Fax: 847-381-5036 | |
Dr. Mary B Collins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5057 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-381-5005 | |
Angeline Roman Zarzuela, Pediatrics Medicare: Medicare Enrolled Practice Location: 5057 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-381-5005 | |
Colleen Considine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5057 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-381-5005 |