Dr Nicole Elizabeth Bogdanovich, MD | |
2650 Ridge Ave, Suite 1304, Evanston, IL 60201-1718 | |
(847) 363-0504 | |
Not Available |
Full Name | Dr Nicole Elizabeth Bogdanovich |
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Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 2650 Ridge Ave, Evanston, 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 |
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1215385083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036155774 (Illinois) | Primary |
Facility Name | Location | Facility Type |
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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 | Northshore University Healthsystem Faculty Practice Associates |
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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 |
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Dr Nicole Elizabeth Bogdanovich, MD 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 Ph: (773) 702-1150 | Dr Nicole Elizabeth Bogdanovich, MD 2650 Ridge Ave, Suite 1304, Evanston, IL 60201-1718 Ph: (847) 363-0504 |
Isra Hasnain, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-666-3494 | |
Alysia L Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 633 Emerson St, Evanston, IL 60208 Phone: 847-491-8100 Fax: 847-491-5919 | |
Stephanie Janae Van Buren, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 847-666-3494 | |
Dr. Elizabeth Feldman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 312-666-3494 | |
Ann Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Jennifer Callegari Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-657-1840 | |
Angelika Joanna Kwak, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 773-834-9852 |