Shannon Roberts, MD | |
7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 | |
(773) 792-7921 | |
Not Available |
Full Name | Shannon Roberts |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 7435 W Talcott Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992931380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125-056361 (Illinois) | Primary |
Entity Name | Venice Emergency Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558379057 PECOS PAC ID: 1355245986 Enrollment ID: O20031125000011 |
Entity Name | Global Physician Network Llc Series I |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316467525 PECOS PAC ID: 7214202365 Enrollment ID: O20170929000797 |
Mailing Address | Practice Location Address |
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Shannon Roberts, MD 7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 Ph: () - | Shannon Roberts, MD 7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 Ph: (773) 792-7921 |
Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
Dr. Ro Gonsalves, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 773-967-2000 |