| Dr Eugene D Fernandes, MD | |
|
1000 Central St Ste 730, Evanston, IL 60201-1779 | |
| (847) 570-2868 | |
| (847) 733-5005 |
| Full Name | Dr Eugene D Fernandes |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1000 Central St Ste 730, 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 |
|---|---|---|---|
| 1346266996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036.144887 (Illinois) | Primary |
| 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 Eugene D Fernandes, MD 1000 Central St Ste 730, Evanston, IL 60201-1779 Ph: (847) 570-2868 | Dr Eugene D Fernandes, MD 1000 Central St Ste 730, Evanston, IL 60201-1779 Ph: (847) 570-2868 |
Nikola Dobrilovic, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 730, Evanston, IL 60201 Phone: 773-293-4170 | |
Dr. Seth Brandon Krantz, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System, Thoracic Surgery, Evanston, IL 60201 Phone: 847-570-2868 |