| Dr Kenneth A Grumet, MD | |
|
800 Austin St Ste 451, Evanston, IL 60202-3455 | |
| (847) 316-6600 | |
| (847) 316-6606 |
| Full Name | Dr Kenneth A Grumet |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 800 Austin St Ste 451, 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 |
|---|---|---|---|
| 1275564940 | NPI | - | NPPES |
| 1275564940 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036063903 (Illinois) | Primary |
| Entity Name | Access Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth A Grumet, MD 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 Ph: (630) 914-2898 | Dr Kenneth A Grumet, MD 800 Austin St Ste 451, Evanston, IL 60202-3455 Ph: (847) 316-6600 |
James Francis Kelly, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Andie Kwon, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822 | |
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128 | |
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 | |
Neal N. Dodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171 | |
Kifah Hussain, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-1485 |