Ryan Lange, MD | |
1630 Sherman Ave Ste 100, Evanston, IL 60201-3711 | |
(847) 535-6464 | |
(224) 271-4870 |
Full Name | Ryan Lange |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 8 Years |
Location | 1630 Sherman Ave Ste 100, Evanston, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679997712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD61043249 (Washington) | Secondary |
207W00000X | Ophthalmology | 036159002 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Ryan Lange, MD 1630 Sherman Ave Ste 100, Evanston, IL 60201-3711 Ph: (847) 535-6464 | Ryan Lange, MD 1630 Sherman Ave Ste 100, Evanston, IL 60201-3711 Ph: (847) 535-6464 |
Dr. Henry Isaac Meisels, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 800 Austin St, Suite 401w, Evanston, IL 60202 Phone: 847-425-9400 Fax: 847-425-9402 | |
Dr. Dimitri G. Perros, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 800 Austin St, Suite 507, Evanston, IL 60202 Phone: 847-864-7760 Fax: 847-864-0984 | |
Dr. John J Bird, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2500 Ridge Ave, Suite 104, Evanston, IL 60201 Phone: 847-328-2020 | |
Mrs. Carrie E Golden-brenner, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 800 Austin, Suite 151, Evanston, IL 60202 Phone: 847-328-2300 Fax: 847-492-1988 | |
Dr. Gail Buckman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St, Suite 360 East Tower, Evanston, IL 60202 Phone: 847-475-0694 Fax: 847-475-0697 | |
Phillip C Wu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Davis St, Suite 810, Evanston, IL 60201 Phone: 847-424-1100 Fax: 847-864-6138 |