| Evanston Premier Healthcare Research Llc | |
|
2500 Ridge Ave Suite 104 Evanston IL 60201-2455 | |
| (847) 869-1192 | |
| Not Available |
| Full Name | Evanston Premier Healthcare Research Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Ridge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Jeffrey George Geohas (OWNER) |
| Authorized Official Contact | 8478691192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Premier Healthcare Research Llc 2500 Ridge Ave Suite 104 Evanston IL 60201-2455 Ph: (847) 869-1192 | Evanston Premier Healthcare Research Llc 2500 Ridge Ave Suite 104 Evanston IL 60201-2455 Ph: (847) 869-1192 |
| NPI Number | 1508124744 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 5799938064 |
|---|---|
| Medicare Enrollment ID | O20130117000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508124744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036093330 (Illinois) | Primary |
| Provider Name | Jeffrey G Geohas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609846351 PECOS PAC ID: 4486664166 Enrollment ID: I20060426000227 |
Endoscopy Center Of The North Shore, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Central St, Evanston, IL 60201 Phone: 847-256-1855 Fax: 866-375-3001 | |
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 |