Pamela Fennewald, MD | |
731 S Illinois Route 21, Suite 130, Gurnee, IL 60031-3813 | |
(847) 566-3337 | |
(847) 816-3166 |
Full Name | Pamela Fennewald |
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Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 731 S Illinois Route 21, Gurnee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912911991 | NPI | - | NPPES |
036057870 | Medicaid | IL | |
04930281 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 036057870 (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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Pamela Fennewald, MD 731 S Illinois Route 21, Suite 130, Gurnee, IL 60031-3813 Ph: (847) 566-3337 | Pamela Fennewald, MD 731 S Illinois Route 21, Suite 130, Gurnee, IL 60031-3813 Ph: (847) 566-3337 |
Dr. Fred B Rosenberg, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Tower Ct, Suite C, Gurnee, IL 60031 Phone: 847-244-2960 Fax: 847-244-2986 | |
Dr. Xavier W Parreno, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 N Greenleaf St, Suite 100, Gurnee, IL 60031 Phone: 847-336-2150 Fax: 847-336-2160 | |
Dr. Efren C. Estrella, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 36100 N Brookside Dr, Gurnee, IL 60031 Phone: 847-535-7900 Fax: 847-535-8761 | |
Dr. Rakhi Khanna, D.O Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 N Hunt Club Rd Ste 301, Gurnee, IL 60031 Phone: 847-855-9252 Fax: 847-855-5215 | |
Nevin Murthy, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7900 Rollins Rd Ste B1300, Gurnee, IL 60031 Phone: 847-570-2512 Fax: 847-570-1696 | |
Peter M. Oshin, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Tower Ct Ste 265, Gurnee, IL 60031 Phone: 847-623-8818 Fax: 847-625-8059 | |
Jason Scott Kramer, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 36100 N Brookside Dr, Suite 206, Gurnee, IL 60031 Phone: 847-856-2090 Fax: 847-856-2093 |