| Leon Gershon Lome, MD | |
|
800 Austin St, Suite 457e, Evanston, IL 60202-3439 | |
| (847) 328-8884 | |
| (847) 328-9129 |
| Full Name | Leon Gershon Lome |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 800 Austin St, 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 |
|---|---|---|---|
| 1871638338 | NPI | - | NPPES |
| 036039465 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036039465 (Illinois) | Primary |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Gershon Lome, MD 800 Austin St, Suite 457e, Evanston, IL 60202-3439 Ph: (847) 328-8884 | Leon Gershon Lome, MD 800 Austin St, Suite 457e, Evanston, IL 60202-3439 Ph: (847) 328-8884 |
Kelsey Gallo, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St Ste 720, Evanston, IL 60201 Phone: 847-503-3000 Fax: 847-503-3500 | |
Mark Jonathan Schacht, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St, Suite 569e, Evanston, IL 60202 Phone: 847-328-5600 Fax: 847-328-9129 | |
Thomas C. Keeler, MD Urology Medicare: Medicare Enrolled Practice Location: 1000 Central St, Suite 720, Evanston, IL 60201 Phone: 847-475-8600 Fax: 847-475-8654 | |
Peter Thomas Vaselopulos, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St, Suite 569, Evanston, IL 60202 Phone: 847-328-5600 Fax: 473-288-4740 | |
Charles B. Brendler, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Walgreen Building Suite 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 |