| Kristin P Hoge, PA-C | |
|
303 W Lake St, Addison, IL 60101-2586 | |
| (630) 527-3645 | |
| Not Available |
| Full Name | Kristin P Hoge |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 303 W Lake St, Addison, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659689040 | NPI | - | NPPES |
| F400211024 | Other | IL | MEDICARE PTAN |
| 1633878 | Other | IL | BCBS PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.003875 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Edward Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
| 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 | Lockport Express Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790053643 PECOS PAC ID: 8628233053 Enrollment ID: O20120709000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin P Hoge, PA-C 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Kristin P Hoge, PA-C 303 W Lake St, Addison, IL 60101-2586 Ph: (630) 527-3645 |
Aimee Lynn Naleway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3645 |
Rachel Ramirez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3645 Fax: 331-221-3983 |
Mr. Emmanuel N Agomo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 E Lake St, Suite 200, Addison, IL 60101 Phone: 630-941-9344 Fax: 630-941-1486 |
Ayesha Fatima, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 714 N Tamarac Blvd, Addison, IL 60101 Phone: 773-563-5572 |
Grace Benstein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 630-835-1430 |
Jose Almendariz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 S Adeline Ave, Addison, IL 60101 Phone: 630-251-2886 |
Valerie Ann Battisti, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 630-835-1430 |