| Evanston Podiatric Surgeons Pc | |
|
2500 Ridge Ave, Suite 110, Evanston, IL 60201-2455 | |
| (847) 475-9030 | |
| (847) 475-9031 |
| Full Name | Evanston Podiatric Surgeons Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2500 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518969344 | NPI | - | NPPES |
| 016004816 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016004816 (Illinois) | Primary |
| Provider Name | Tayeb S Hussain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487688925 PECOS PAC ID: 2163412321 Enrollment ID: I20050222000827 |
| Provider Name | Summer Es Bochat |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144472523 PECOS PAC ID: 8426102302 Enrollment ID: I20110208000729 |
| Provider Name | Kari L Chase |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033481627 PECOS PAC ID: 5890942098 Enrollment ID: I20120823000022 |
| Provider Name | Samantha D Winerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265877849 PECOS PAC ID: 8628379427 Enrollment ID: I20160826001279 |
| Provider Name | Zubair A Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780050195 PECOS PAC ID: 8022367556 Enrollment ID: I20180816002449 |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Podiatric Surgeons Pc 2500 Ridge Ave, Suite 110, Evanston, IL 60201-2455 Ph: (847) 475-9030 | Evanston Podiatric Surgeons Pc 2500 Ridge Ave, Suite 110, Evanston, IL 60201-2455 Ph: (847) 475-9030 |
Dr. Kari Leann Chase, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2500 Ridge Ave, Suite #110, Evanston, IL 60201 Phone: 847-475-9030 Fax: 847-475-9031 | |
Evanston Podiatry Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1605 Chicago Ave, Evanston, IL 60201 Phone: 847-424-9888 Fax: 847-424-9649 | |
Robert Martin Gerber, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St Ste 469e, Evanston, IL 60202 Phone: 847-332-1112 Fax: 847-332-1114 | |
Gold Coast Podiatry Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1605 Chicago Ave, Evanston, IL 60201 Phone: 847-424-9888 Fax: 847-424-9649 | |
Dr. Kevin John Tunnat, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St, Suite #611, Evanston, IL 60202 Phone: 847-864-5010 Fax: 847-864-9632 | |
Dr Kevin Tunnat Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 800 Austin St, Suite #611, Evanston, IL 60202 Phone: 847-864-5010 Fax: 847-864-9632 | |
Samantha Dolph Winerman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2500 Ridge Ave, Ste 110, Evanston, IL 60201 Phone: 847-475-9030 Fax: 847-475-9031 |