Sheena Gupta Mckenzie, MD, MBA | |
777 Park Ave. West, Pediatric Hospitalists, Highland Park, IL 60035-2433 | |
(847) 570-2530 | |
(847) 570-0231 |
Full Name | Sheena Gupta Mckenzie |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 777 Park Ave. West, Highland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336567536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036150397 (Illinois) | Secondary |
208M00000X | Hospitalist | 036150397 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Swedish Covenant Management Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
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 |
---|---|
Sheena Gupta Mckenzie, MD, MBA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2833 | Sheena Gupta Mckenzie, MD, MBA 777 Park Ave. West, Pediatric Hospitalists, Highland Park, IL 60035-2433 Ph: (847) 570-2530 |
Maxie I Mcdonough, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2530 Fax: 847-570-0231 | |
Dr. Nicole Aida Kafati, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2530 | |
Kosha Kamani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-926-5840 Fax: 847-926-5835 | |
Dr. Lynette C Connell, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 708-684-2699 |