Chirag A Dholakia, MD | |
17047 La Grange Rd, Orland Park, IL 60487-7227 | |
(815) 300-7764 | |
(815) 469-6342 |
Full Name | Chirag A Dholakia |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 17047 La Grange Rd, Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972667624 | NPI | - | NPPES |
036126478 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036126478 (Illinois) | Primary |
208600000X | Surgery | 1885 (Wisconsin) | Secondary |
Entity Name | Premier Suburban Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902412950 PECOS PAC ID: 5294155818 Enrollment ID: O20201021001250 |
Mailing Address | Practice Location Address |
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Chirag A Dholakia, MD 17047 La Grange Rd, Orland Park, IL 60487-7227 Ph: (815) 300-7764 | Chirag A Dholakia, MD 17047 La Grange Rd, Orland Park, IL 60487-7227 Ph: (815) 300-7764 |
Dr. James R O'donnell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10745 165th St, Orland Park, IL 60467 Phone: 708-364-5700 Fax: 708-745-3120 | |
Salvatore Antonio Fanto, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11304 W Distinctive Drive, Orland Park, IL 60462 Phone: 708-479-0005 Fax: 708-479-0022 | |
Dr. Charles Franklin Martin I, MD, FACEP Surgery Medicare: Accepting Medicare Assignments Practice Location: 9501 W 144th Pl, Suite 304, Orland Park, IL 60462 Phone: 708-873-3450 Fax: 708-873-2791 | |
Chad Barnes, Surgery Medicare: Medicare Enrolled Practice Location: 15300 West Ave Ste 108, Orland Park, IL 60462 Phone: 708-226-2318 Fax: 708-226-2319 | |
Dr. Evan T. Manolis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8760 W 159th St, Suite 204, Orland Park, IL 60462 Phone: 708-873-9600 Fax: 708-873-9607 | |
Shafiq Ahmed, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-403-3401 Fax: 708-403-3403 | |
Dr. Shannon Michelle Davis, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 15303 S 94th Ave Ste 110, Orland Park, IL 60462 Phone: 800-991-6117 Fax: 888-812-8191 |