| Endoscopy Center Of The North Shore, Llc | |
|
1732 Central St Evanston IL 60201-1508 | |
| (847) 256-1855 | |
| (866) 375-3001 |
| Full Name | Endoscopy Center Of The North Shore, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1732 Central St, Evanston, Illinois |
| Authorized Official Name and Position | Vlad Halai (MANAGER) |
| Authorized Official Contact | 8472561855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endoscopy Center Of The North Shore, Llc 1732 Central St Evanston IL 60201-1508 Ph: (847) 256-1855 | Endoscopy Center Of The North Shore, Llc 1732 Central St Evanston IL 60201-1508 Ph: (847) 256-1855 |
| NPI Number | 1013487388 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 8729327101 |
|---|---|
| Medicare Enrollment ID | O20190301000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013487388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Laura K Bianchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932231115 PECOS PAC ID: 8123125648 Enrollment ID: I20070517000582 |
| Provider Name | Manoj Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962495200 PECOS PAC ID: 2961582564 Enrollment ID: I20100611000763 |
| Provider Name | Jim Zb Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073590337 PECOS PAC ID: 4981505211 Enrollment ID: I20120727000410 |
Westminster Place Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3200 Grant Street, Evanston, IL 60201 Phone: 847-492-4828 Fax: 847-492-4810 | |
Kerstin Alischoewski Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912 Greenwood St, Evanston, IL 60201 Phone: 847-845-1388 Fax: 847-845-1388 | |
Orthovirginia, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2423 Main St Ste 3, Evanston, IL 60202 Phone: 571-470-7544 | |
Evanston Cc School Dist 65 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Mcdaniel Ave, Evanston, IL 60201 Phone: 847-859-8090 Fax: 847-859-8713 | |
Evanston Township High School Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Dodge Ave, Room H-101, Evanston, IL 60201 Phone: 847-424-7265 Fax: 847-492-5809 | |
Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Davis St, Evanston, IL 60201 Phone: 847-492-1778 |