| Dr Beverley Robin, MD | |
| 1464 S Michigan Ave, Suite 1304, Chicago, IL 60605-3711 | |
| (773) 320-5727 | |
| (312) 939-0188 | 
| Full Name | Dr Beverley Robin | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 1464 S Michigan Ave, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487607891 | NPI | - | NPPES | 
| 200263150 | Medicaid | IN | |
| 036100413 | Medicaid | IL | |
| 000000647638 | Other | IN | ANTHEM | 
| 000000632893 | Other | IN | ANTHEM PROVIDER NUMBER | 
| 200606090A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036100413 (Illinois) | Secondary | 
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01065473A (Indiana) | Primary | 
| Entity Name | Rush University Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Beverley Robin, MD 1464 S Michigan Ave, Suite 1304, Chicago, IL 60605-3711 Ph: (773) 320-5727 | Dr Beverley Robin, MD 1464 S Michigan Ave, Suite 1304, Chicago, IL 60605-3711 Ph: (773) 320-5727 | 
| Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
| Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
| Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
| Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
| Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
| Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 | |
| Amy Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |