Dr Charles Zugerman, MD | |
1 E Delaware Pl, Ste 501, Chicago, IL 60611-1666 | |
(312) 626-1759 | |
Not Available |
Full Name | Dr Charles Zugerman |
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Gender | Male |
Speciality | Dermatology - Procedural Dermatology |
Location | 1 E Delaware Pl, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134227259 | NPI | - | NPPES |
031600045 | Other | IL | BLUE CROSS NUMBER |
03650426 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | 3650426 (Illinois) | Primary |
Entity Name | Illinois Dermatology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891920898 PECOS PAC ID: 7911043054 Enrollment ID: O20091005000156 |
Mailing Address | Practice Location Address |
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Dr Charles Zugerman, MD 201 E Huron St, Ste 11-250, Chicago, IL 60611-2968 Ph: (312) 337-4020 | Dr Charles Zugerman, MD 1 E Delaware Pl, Ste 501, Chicago, IL 60611-1666 Ph: (312) 626-1759 |
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 |