Dr Maria Colavincenzo, MD | |
676 N Saint Clair St, Suite 1600, Chicago, IL 60611-2927 | |
(312) 695-8106 | |
(312) 695-0537 |
Full Name | Dr Maria Colavincenzo |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 20 Years |
Location | 676 N Saint Clair St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598931719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036.123111 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Maria Colavincenzo, MD 676 N Saint Clair St, Suite 1600, Chicago, IL 60611-2927 Ph: (312) 695-8106 | Dr Maria Colavincenzo, MD 676 N Saint Clair St, Suite 1600, Chicago, IL 60611-2927 Ph: (312) 695-8106 |
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 |