| Sullivan Armando Ayuso, MD | |
|
2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201-1718 | |
| (847) 570-2560 | |
| (847) 570-2930 |
| Full Name | Sullivan Armando Ayuso |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 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 |
|---|---|---|---|
| 1194220921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036169491 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dell Seton Med Center At The University Of Tx | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The University Of Texas At Austin | 2668559436 | 154 |
| University Of Texas At Austin Dell Medical School | 7113401340 | 144 |
| Entity Name | The University of Texas at Austin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293 |
| Entity Name | University of Texas at Austin Dell Medical School |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 7113401340 Enrollment ID: O20260325001745 |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Armando Ayuso, MD 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201 Ph: (847) 570-2560 | Sullivan Armando Ayuso, MD 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201-1718 Ph: (847) 570-2560 |
Laurel Ann Omert, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9249 Lincolnwood Dr, Evanston, IL 60203 Phone: 847-763-0761 Fax: 847-864-0353 |
David P Winchester, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2800 Fax: 847-570-2930 |
Dr. Charles R Gruner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St, East Tower, Suite 563, Evanston, IL 60202 Phone: 847-869-0522 Fax: 847-869-0652 |
Miral Sadaria Grandhi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201 Phone: 847-570-1700 Fax: 847-503-4371 |
Katharine A. Yao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave # 1155, Evanston, IL 60201 Phone: 847-570-1700 Fax: 847-733-5298 |
Alison Carol Coogan, Surgery Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2560 |
Amna Munif Khokar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Northshore University Healthsystem, Office Of Academic, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 Phone: 847-570-1316 |