Juan Pablo Salazar Adum, MD | |
2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | |
(847) 570-1010 | |
(847) 733-5108 |
Full Name | Juan Pablo Salazar Adum |
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Gender | Male |
Speciality | Hospitalist |
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 |
---|---|---|---|
1790216323 | NPI | - | NPPES |
125070730 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036152370 (Illinois) | Secondary |
208M00000X | Hospitalist | 036152370 (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 |
---|---|
Juan Pablo Salazar Adum, MD 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Ph: (847) 570-1010 | Juan Pablo Salazar Adum, MD 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Ph: (847) 570-1010 |
Tae Yeon Kim, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Pediatric Hospitalists, Evanston, IL 60201 Phone: 847-570-1027 Fax: 847-733-5108 | |
Kenneth Patrick Harang, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Danijela Dokic, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Dr. Eric Charles Molloy, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Hospitalist Department, Evanston, IL 60201 Phone: 847-570-2000 | |
Byung Hun Hyun, Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010 | |
Jamie Titen, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2509 | |
Aisha Amin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 |