| Dr Kevin Boubouleix, MD | |
|
2650 Ridge Ave, Emergency Medicine, Evanston, IL 60201-1700 | |
| (847) 570-2114 | |
| Not Available |
| Full Name | Dr Kevin Boubouleix |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013578475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036161095 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Endeavor Health Clinical Operations | Evanston, IL | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| John H Stroger Jr Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarksville Emergency Group Pc | 6507277423 | 149 |
| Cook County | 2860398088 | 770 |
| Entity Name | Clarksville Emergency Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Entity Name | Concord Company of Tennessee PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20240220002324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Boubouleix, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Kevin Boubouleix, MD 2650 Ridge Ave, Emergency Medicine, Evanston, IL 60201-1700 Ph: (847) 570-2114 |
Michael T. Gillam, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 |
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |
Wilber P. Yep, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |