| Shannon Wilson, MD | |
|
1357 W 103rd St, Chicago, IL 60643-2392 | |
| (773) 238-0800 | |
| (773) 238-0428 |
| Full Name | Shannon Wilson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 1357 W 103rd St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013443175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.070395 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2422 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Wilson, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Shannon Wilson, MD 1357 W 103rd St, Chicago, IL 60643-2392 Ph: (773) 238-0800 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028 | |
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |