Paul David Guillod, MD | |
2650 Ridge Ave., Evanston, IL 60201-1057 | |
(847) 570-2760 | |
(847) 570-2921 |
Full Name | Paul David Guillod |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
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 |
---|---|---|---|
1215464383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036161521 (Illinois) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 036161521 (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 |
---|---|
Paul David Guillod, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2760 | Paul David Guillod, MD 2650 Ridge Ave., Evanston, IL 60201-1057 Ph: (847) 570-2760 |
Luke S Janik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System; Dept Anesthesia, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Devin Roberts, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 216-276-3721 | |
Dr. Kenneth Justin Naylor, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 | |
Bernard Wittels, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-6370 | |
Kyle Petty, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Dept. Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 | |
Richard Gelfand, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Mark A Deshur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 |