| Taebee Chang, | |
|
2650 Ridge Ave, Evanston, IL 60201-1718 | |
| (847) 570-4224 | |
| Not Available |
| Full Name | Taebee Chang |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750767919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085.005591 (Illinois) | Primary |
| 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 | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1629441027 PECOS PAC ID: 7810800935 Enrollment ID: O20151211000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Taebee Chang, 4 Wildwood Ct, Vernon Hills, IL 60061-1956 Ph: (847) 323-0867 | Taebee Chang, 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-4224 |
Mrs. Etel Zeveleva, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 Clyde Ave, Evanston, IL 60202 Phone: 847-869-7389 |
Alexis Carroll, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 |
Yuvia Y Arredondo, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2023 Fax: 847-657-5732 |
Ms. Margaret Miller Carter, PA-S2 Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 |
Wajdey Nesheiwat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Dept. Of Surgery Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 |
Bomy Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 1223, Evanston, IL 60201 Phone: 847-982-3171 |
Sheri Lynn Tokarczyk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Walgreen Building, Suite 2507, Evanston, IL 60201 Phone: 847-570-1171 Fax: 847-570-2930 |