| Miss Kanwal Shazia Chaudhry, MD | |
|
2400 N Rockton Ave, Rockford, IL 61103-3655 | |
| (312) 208-2565 | |
| Not Available |
| Full Name | Miss Kanwal Shazia Chaudhry |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 2400 N Rockton Ave, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336263201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036116930 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 245857 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kanwal Shazia Chaudhry, MD 320 W 38th St, 322, New York, NY 10018-3204 Ph: () - | Miss Kanwal Shazia Chaudhry, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (312) 208-2565 |
Christopher M. Nielsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 Fax: 608-826-2710 | |
Waleed Mansour, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Todd H. Chaffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Faizan Shakeel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Emergency Dept, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Meredith Scott, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 | |
Dr. Timothy P Coggin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 | |
John P. Rudzinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-3333 |