| Dr Chinonye Sharon Imo, MD | |
|
2650 Ridge Ave., Labor & Delivery, Evanston, IL 60201-1718 | |
| (847) 570-2860 | |
| (847) 570-2898 |
| Full Name | Dr Chinonye Sharon Imo |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2650 Ridge Ave., Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669001392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036167841 (Illinois) | Primary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chinonye Sharon Imo, MD 2650 Ridge Ave., Labor & Delivery, Evanston, IL 60201-1718 Ph: (847) 570-2860 | Dr Chinonye Sharon Imo, MD 2650 Ridge Ave., Labor & Delivery, Evanston, IL 60201-1718 Ph: (847) 570-2860 |
Anne Peiffer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-3624 | |
Dr. Mary Tilley Jenkins Vogel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 Phone: 847-570-2639 Fax: 847-570-1041 | |
Nandini Datta, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1223, Evanston, IL 60201 Phone: 847-982-5869 Fax: 312-666-6228 | |
Dr. Andreea Mihai Newtson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2112 Fax: 847-570-1041 | |
Jennifer J Kim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 717, Evanston, IL 60201 Phone: 847-864-1200 | |
Henry Chill, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2520 | |
Carolynn Marie Dude, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave # 1420, Evanston, IL 60201 Phone: 847-570-2860 |