| Philip H Sheridan Jr, MD | |
|
2650 Ridge Ave, Evanston, IL 60201-1718 | |
| (847) 675-1960 | |
| (847) 446-1893 |
| Full Name | Philip H Sheridan Jr |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 38 Years |
| Location | 2650 Ridge Ave, 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 |
|---|---|---|---|
| 1487606109 | NPI | - | NPPES |
| 01637916 | Other | IL | BLUE CROSS BLUE SHIELD |
| 216062 | Other | IL | MEDICARE |
| 036079226 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036079226 (Illinois) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 036079226 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem Home & Hospice | Skokie, IL | Home health agency |
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dedication Health Llc | 7810290699 | 6 |
| 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 |
| Entity Name | Pulmonary Medicine Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376576785 PECOS PAC ID: 3476597881 Enrollment ID: O20050616000572 |
| Entity Name | Dedication Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326403593 PECOS PAC ID: 7810290699 Enrollment ID: O20160128001630 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip H Sheridan Jr, MD Po Box 616, Forest Park, IL 60130-0616 Ph: (708) 366-7177 | Philip H Sheridan Jr, MD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 675-1960 |
James Francis Kelly, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Andie Kwon, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822 | |
Adela Kola, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Matthew R. Sherwood, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128 | |
Dipika Oberoi, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700 | |
Neal N. Dodia, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171 | |
Kifah Hussain, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-1485 |