Dr Thomas Gregory Lienhoop, MD | |
2650 Ridge Ave # 1223, Evanston, IL 60201-1700 | |
(847) 570-2040 | |
Not Available |
Full Name | Dr Thomas Gregory Lienhoop |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2650 Ridge Ave # 1223, 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 |
---|---|---|---|
1588056204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036165443 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 125071807 (Illinois) | Primary |
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 Thomas Gregory Lienhoop, MD 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Thomas Gregory Lienhoop, MD 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Jacob Seth Ecanow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Radiology, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 |