Dr Irwin Benuck, MD | |
1325 Howard St, Suite 203, Evanston, IL 60202-3766 | |
(847) 869-4300 | |
(847) 869-4330 |
Full Name | Dr Irwin Benuck |
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Gender | Male |
Speciality | Pediatrics |
Location | 1325 Howard 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 |
---|---|---|---|
1639179179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036061498 (Illinois) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
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Dr Irwin Benuck, MD 1325 Howard St, Suite 203, Evanston, IL 60202-3766 Ph: (847) 869-4300 | Dr Irwin Benuck, MD 1325 Howard St, Suite 203, Evanston, IL 60202-3766 Ph: (847) 869-4300 |
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 |