Peter M Colegrove, MD | |
1000 Central St, Suite 720, Evanston, IL 60201-1777 | |
(847) 475-8600 | |
(847) 475-8654 |
Full Name | Peter M Colegrove |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 26 Years |
Location | 1000 Central St, 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 |
---|---|---|---|
1184638496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036112977 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Swedish Covenant Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore University Healthsystem Faculty Practice Associates | 2163334699 | 1751 |
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 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
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 |
---|---|
Peter M Colegrove, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206 | Peter M Colegrove, MD 1000 Central St, Suite 720, Evanston, IL 60201-1777 Ph: (847) 475-8600 |
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: 847-328-9129 | |
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 | |
Leon Gershon Lome, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Austin St, Suite 457e, Evanston, IL 60202 Phone: 847-328-8884 Fax: 847-328-9129 |