SHANNON M. EWING (NPI# 1598845695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598845695 |
| Entity Type | Individual |
| Full Name | SHANNON M. EWING |
| Credential | M.D. |
| Practice Address |
9977 Woods Dr 3rd Floor Skokie IL 60077-1057 |
| Mailing Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201-1718 |
| Practice Telephone | 8476638060 |
| Practice Fax Number | 8476631027 |
| Mailing Telephone | 8475701644 |
| Mailing Fax Number | 8477335315 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518096668 | Shannon Kay Ewing | Home Health Aide | 1572 Lusch Rd, Marion, OH 43302-7544 | 2007-03-05 |
| Street Address |
9977 WOODS DR 3RD FLOOR |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891987 | Michael Perry Rosenbaum | Pediatrics | 9977 Woods Dr, Skokie, IL 60077-1057 | 2005-12-13 |
| 1255938726 | Laura June Prestidge | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-10-07 |
| 1376150722 | Alaminah Said | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-09-29 |
| 1922618313 | Heather R Siddons | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-07-31 |
| 1366071797 | Kelly Hundman | Registered Nurse | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-04-07 |
| 1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
| 1699310979 | Rachel Sarmiento | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-11-11 |
| 1447801998 | Giselle Martinez-o'connor | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-26 |
| 1376193904 | Eva Schwartz | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-09-16 |
| 1174173009 | Ross Thaler Compton | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1699193334 | Benjamin C Garden | Dermatology | 4605 Golf Rd, Skokie, IL 60076 | 2014-03-31 |
| 1285895003 | Nisha Desai | Dermatology | 9933 Woods Dr Ste 200, Skokie, IL 60077-1049 | 2008-06-24 |
| 1154448355 | Rush Pres St. Luke's Med Center | Dermatology | 4711 Golf Rd Ste 711, Skokie, IL 60076-1245 | 2007-03-23 |
| 1770634131 | Stephanie Mehlis | Dermatology | 9933 Woods Dr, 2nd Floor - Dermatology, Skokie, IL 60077-1057 | 2007-01-14 |
| 1437140530 | Alan Eugene Lasser | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425 | 2005-10-30 |
| 1326437039 | Lasser Dermatology, LLC | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458 | 2015-01-19 |
| 1104243070 | Jaime Beth Alexander | Dermatology | 9933 Woods Dr Ste 200, Skokie, IL 60077-1049 | 2014-03-27 |
| 1891021457 | Family Doctors/family Healthcare | Dermatology | 7100 Carpenter Rd, Skokie, IL 60077-3279 | 2009-11-02 |
| 1245566777 | University Dermatology | Dermatology | 4605 Golf Rd, Skokie, IL 60076-1209 | 2009-10-18 |
| Find all providers in SKOKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.