| Kerstin Alischoewski Md Sc | |
|
912 Greenwood St Evanston IL 60201-6524 | |
| (847) 845-1388 | |
| (847) 845-1388 |
| Full Name | Kerstin Alischoewski Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 912 Greenwood St, Evanston, Illinois |
| Authorized Official Name and Position | Kerstin Alischoewski (PRESIDENT) |
| Authorized Official Contact | 8478451388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerstin Alischoewski Md Sc 912 Greenwood St Evanston IL 60201-6524 Ph: (847) 845-1388 | Kerstin Alischoewski Md Sc 912 Greenwood St Evanston IL 60201-6524 Ph: (847) 845-1388 |
| NPI Number | 1033428842 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 05/21/2013 |
| Medicare PECOS PAC ID | 8123216538 |
|---|---|
| Medicare Enrollment ID | O20101229001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033428842 | NPI | - | NPPES |
| 036090390 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 036090390 (Illinois) | Primary |
| Provider Name | Kerstin Alischoewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093792707 PECOS PAC ID: 7113831165 Enrollment ID: I20031114000304 |
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