| Ervin Denham, MD | |
|
2650 Ridge Ave, Evanston, IL 60201-1718 | |
| (847) 570-4120 | |
| (847) 570-1330 |
| Full Name | Ervin Denham |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 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 |
|---|---|---|---|
| 1881658193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036103113 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| 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 |
|---|---|
| Ervin Denham, MD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-4120 | Ervin Denham, MD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-4120 |
Laurel Ann Omert, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9249 Lincolnwood Dr, Evanston, IL 60203 Phone: 847-763-0761 Fax: 847-864-0353 | |
David P Winchester, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2800 Fax: 847-570-2930 | |
Dr. Charles R Gruner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 Austin St, East Tower, Suite 563, Evanston, IL 60202 Phone: 847-869-0522 Fax: 847-869-0652 | |
Miral Sadaria Grandhi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-6710 | |
Katharine Yao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System, Evanston, IL 60201 Phone: 847-570-1327 Fax: 847-733-3695 | |
Sullivan Armando Ayuso, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 | |
Dr. Tricia Moo-young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Walgreen Building Suite 2507, Evanston, IL 60201 Phone: 847-570-1316 Fax: 847-570-2930 |