Dipankar Mukhopadhyay, is a
Pediatrics physician based in La Grange, Illinois. Dipankar Mukhopadhyay is licensed to practice in Illinois (license number 036045296) and his current practice location is 5101 Willow Springs Rd, Family Practice Residency, La Grange, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 245-8900.
NPI number for Dipankar Mukhopadhyay is 1659827186 and his current mailing address is 5101 Willow Springs Rd, Family Practice Residency, La Grange, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659827186.
Physician's Profile
Full Name | Dipankar Mukhopadhyay |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 5101 Willow Springs Rd, La Grange, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659827186
- Provider Enumeration Date: 08/25/2016
- Last Update Date: 08/25/2016
Medical Identifiers
Medical identifiers for Dipankar Mukhopadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659827186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036045296 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dipankar Mukhopadhyay is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dipankar Mukhopadhyay, 5101 Willow Springs Rd, Family Practice Residency, La Grange, IL 60525-2600 Ph: (708) 245-8900 | Dipankar Mukhopadhyay, 5101 Willow Springs Rd, Family Practice Residency, La Grange, IL 60525-2600 Ph: (708) 245-8900 |
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