| Ews Internal Medicine, Llc | |
|
2500 Ridge Ave Suite 104 Evanston IL 60201-2455 | |
| (847) 869-1192 | |
| Not Available |
| Full Name | Ews Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Ridge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Samira Mendoza (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6306289600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ews Internal Medicine, Llc 2500 Ridge Ave Suite 104 Evanston IL 60201-2455 Ph: (847) 869-1192 | Ews Internal Medicine, Llc 2500 Ridge Ave Suite 104 Evanston IL 60201-2455 Ph: (847) 869-1192 |
| NPI Number | 1790043933 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 5496908774 |
|---|---|
| Medicare Enrollment ID | O20130117000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790043933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036094253 (Illinois) | Primary |
| Provider Name | Elizabeth K Woo-strauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154392645 PECOS PAC ID: 8820008501 Enrollment ID: I20060426000163 |
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