Dr Evora Juanita Brent, MD | |
1000 Central St., Suite 800, Evanston, IL 60201-1780 | |
(847) 570-2577 | |
(847) 733-5424 |
Full Name | Dr Evora Juanita Brent |
---|---|
Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 1000 Central 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 |
---|---|---|---|
1326335514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 036138274 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
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 |
---|---|
Dr Evora Juanita Brent, MD 2650 Ridge Ave Room 1223, Evanston, IL 60201-1718 Ph: (847) 570-2040 | Dr Evora Juanita Brent, MD 1000 Central St., Suite 800, Evanston, IL 60201-1780 Ph: (847) 570-2577 |
Dr. Rosita Stephen Pildes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1319 Ridge Ave, Evanston, IL 60201 Phone: 847-491-9742 Fax: 847-491-9740 | |
Dr. Sadie Anne Laponsie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Susan Amy Roth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577 | |
Ana Claudia Taddei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2530 Fax: 847-570-0231 | |
Julie Shields Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577 | |
Dr. Najah Senno Musacchio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Dodge Ave Rm H-101, Evanston, IL 60201 Phone: 847-424-7265 Fax: 847-492-5809 | |
Sharon M Robinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577 |