Alekya Kothamasu, MD | |
4220 W 95th St, Oak Lawn, IL 60453-2793 | |
(708) 684-5341 | |
(708) 423-1899 |
Full Name | Alekya Kothamasu |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4220 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073191672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125078857 (Illinois) | Secondary |
208000000X | Pediatrics | 036167072 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
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 |
---|---|
Alekya Kothamasu, MD 1200 S York St Ste 2000, Elmhurst, IL 60126-5634 Ph: (331) 221-9004 | Alekya Kothamasu, MD 4220 W 95th St, Oak Lawn, IL 60453-2793 Ph: (708) 684-5341 |
Dr. Saad Ahmed Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 | |
Karla Katherine Wehrheim, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 West 95th Street, Pediatric Cardiology, Oak Lawn, IL 60453 Phone: 708-648-5580 Fax: 708-684-4068 | |
Dr. Alexander James Javois, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Dr. Naveen Imran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Ms. Samrita Sawhney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 312-949-4200 Fax: 708-423-1899 | |
Daniella Nana Owusuwaah, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5341 | |
Dr. Verlainna Cathleen-shaw Callentine, M.D., M.ED. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4007 |