| Maxwell Rich, DO | |
|
9600 Gross Point Rd, Skokie, IL 60076-1214 | |
| (847) 933-6410 | |
| Not Available |
| Full Name | Maxwell Rich |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 9600 Gross Point Rd, Skokie, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528703147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125.079512 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036170958 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036170958 (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 |
|---|---|
| Maxwell Rich, DO 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 982-3362 | Maxwell Rich, DO 9600 Gross Point Rd, Skokie, IL 60076-1214 Ph: (847) 933-6410 |
Dr. Joshua M Lennon, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 9138 Ridgeway Ave, Skokie, IL 60076 Phone: 847-677-3626 | |
Rajesh Kumar Sharma, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9600 Gross Point Rd, Skokie, IL 60076 Phone: 847-933-6410 Fax: 847-933-6411 | |
Andrew Shabila, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9977 Woods Dr Ste B70, Skokie, IL 60077 Phone: 847-663-2661 |