Dr Hyde M Russell, MD | |
2650 Ridge Ave, Walgreen Suite 3507, Evanston, IL 60201-1718 | |
(847) 570-2868 | |
(847) 733-5005 |
Full Name | Dr Hyde M Russell |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 25 Years |
Location | 2650 Ridge Ave, Evanston, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497994784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036-108346 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem Home & Hospice | Skokie, IL | Home health agency |
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
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 Hyde M Russell, MD 2650 Ridge Ave, Walgreen Suite 3507, Evanston, IL 60201-1718 Ph: (847) 570-2868 | Dr Hyde M Russell, MD 2650 Ridge Ave, Walgreen Suite 3507, Evanston, IL 60201-1718 Ph: (847) 570-2868 |
Dr. Eugene D Fernandes, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 730, Evanston, IL 60201 Phone: 847-570-2868 Fax: 847-733-5005 | |
Nikola Dobrilovic, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 730, Evanston, IL 60201 Phone: 773-293-4170 | |
Dr. Seth Brandon Krantz, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System, Thoracic Surgery, Evanston, IL 60201 Phone: 847-570-2868 |