Jean A Hurteau, MD | |
2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201 | |
(847) 570-2639 | |
(847) 733-5618 |
Full Name | Jean A Hurteau |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
Location | 2650 Ridge Ave, 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 |
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1801981584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 036106310 (Illinois) | Secondary |
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 036106310 (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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Jean A Hurteau, MD 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201-1718 Ph: (847) 570-2639 | Jean A Hurteau, MD 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201 Ph: (847) 570-2639 |
Anne Peiffer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-3624 | |
Dr. Mary Tilley Jenkins Vogel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 Phone: 847-570-2639 Fax: 847-570-1041 | |
Nandini Datta, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1223, Evanston, IL 60201 Phone: 847-982-5869 Fax: 312-666-6228 | |
Cherrell Lanae Triplett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 1507, Evanston, IL 60201 Phone: 847-570-2222 Fax: 847-570-1846 | |
Dr. Ghazaleh Rostami Nia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Avenue Walgreen Building, Suite 1507, Evanston, IL 60201 Phone: 847-434-9728 | |
Jennifer J Kim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 717, Evanston, IL 60201 Phone: 847-864-1200 | |
Henry Chill, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2520 |