Ajitha Antony, MD | |
801 S Washington St, Naperville, IL 60540-7430 | |
(630) 527-5197 | |
Not Available |
Full Name | Ajitha Antony |
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Gender | Female |
Speciality | Hospitalist |
Location | 801 S Washington St, Naperville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700895273 | NPI | - | NPPES |
036115759 1 | Medicaid | IL | |
2220936 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036115759 (Illinois) | Secondary |
208M00000X | Hospitalist | 036115759 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Ajitha Antony, MD 801 S Washington St, Naperville, IL 60540-7430 Ph: (630) 527-5197 | Ajitha Antony, MD 801 S Washington St, Naperville, IL 60540-7430 Ph: (630) 527-5197 |
Dr. Sunita Dervesh Koul, Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1831 Bay Scott Cir Ste 109, Naperville, IL 60540 Phone: 630-961-1341 | |
Sohaib Hassan, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-527-3000 Fax: 630-456-7486 | |
Lisa A Groskopf, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1508 Aurora Ave, Naperville, IL 60540 Phone: 630-585-7100 | |
Dr. Irfan Mir Ali, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-469-9200 Fax: 630-456-7486 | |
Dr. Nazish Ekram, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1964 Springbrook Square Dr Ste 108b, Naperville, IL 60564 Phone: 630-348-3840 Fax: 630-848-9342 | |
Rey Sriaroon, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-527-3000 | |
Mohammed Shehan Siddiqi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Spalding Dr Ste 408, Naperville, IL 60540 Phone: 630-717-2630 Fax: 630-355-9546 |