Richard D Stagl, MD | |
1713 Central St, Evanston, IL 60201 | |
(847) 869-1499 | |
(847) 869-2932 |
Full Name | Richard D Stagl |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1713 Central St, 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 |
---|---|---|---|
1851368328 | NPI | - | NPPES |
036066559 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036066559 (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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Richard D Stagl, MD 1713 Central St, Evanston, IL 60201 Ph: (847) 869-1499 | Richard D Stagl, MD 1713 Central St, Evanston, IL 60201 Ph: (847) 869-1499 |
James Francis Kelly, DO Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 | |
Neal N. Dodia, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171 |