Arvind Shukla, MBBS | |
900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | |
(630) 954-6700 | |
Not Available |
Full Name | Arvind Shukla |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 900 Jorie Blvd, Oak Brook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033156385 | NPI | - | NPPES |
036-061920 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036-061920 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Arvind Shukla, MBBS 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 | Arvind Shukla, MBBS 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 |
Moon Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Emelie Medalle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 | |
Dr. Shobhana Ravikumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Dr. Antranik S Poladian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 963-954-1555 | |
Leonardo Malalis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 Fax: 630-954-1555 | |
Helen Kusi, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523 Phone: 630-954-6700 |