Montha Suphangul, MD | |
355 Ridge Ave, Evanston, IL 60202-3328 | |
(847) 316-4000 | |
Not Available |
Full Name | Montha Suphangul |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 355 Ridge Ave, Evanston, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548424229 | NPI | - | NPPES |
XOF839694314 | Other | IL | BLUECROSS BLUESHIELD PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125052160 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Montha Suphangul, MD 429 Custer Ave Apt 2g, Evanston, IL 60202-2975 Ph: (773) 273-5968 | Montha Suphangul, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-4000 |
James Francis Kelly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Ashley Rachel Mohan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Andie Kwon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822 | |
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128 | |
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 | |
Neal N. Dodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171 |