Individual
RONALD HIMMELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036062810
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620446
BLUE CROSS
IL
05
—
0360628101
—
IL
01
—
930105297
RAILROAD MCR
—
01
—
P00231810
RAILROAD MEDICARE
IL
Enumeration date
06/06/2006
Last updated
11/03/2016
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