Dr Lava Y Patel, MD | |
2650 Ridge Ave, Evanston, IL 60201-1718 | |
(847) 570-2461 | |
Not Available |
Full Name | Dr Lava Y Patel |
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Gender | Male |
Speciality | Surgery |
Location | 2650 Ridge Ave, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982984977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125058737 (Illinois) | Secondary |
208600000X | Surgery | 036129104 (Illinois) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Mailing Address | Practice Location Address |
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Dr Lava Y Patel, MD 421 W Huron St, Apt. 1103, Chicago, IL 60654-3962 Ph: (718) 877-8317 | Dr Lava Y Patel, MD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-2461 |
Laurel Ann Omert, MD Surgery Medicare: Medicare Enrolled Practice Location: 9249 Lincolnwood Dr, Evanston, IL 60203 Phone: 847-763-0761 Fax: 847-864-0353 | |
David P Winchester, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2800 Fax: 847-570-2930 | |
Dr. Charles R Gruner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Austin St, East Tower, Suite 563, Evanston, IL 60202 Phone: 847-869-0522 Fax: 847-869-0652 | |
Katharine Yao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System, Evanston, IL 60201 Phone: 847-570-1327 Fax: 847-733-3695 | |
Sullivan Armando Ayuso, MD Surgery Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 | |
Dr. Tricia Moo-young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Walgreen Building Suite 2507, Evanston, IL 60201 Phone: 847-570-1316 Fax: 847-570-2930 | |
Dr. Andrea Elizabeth Geddes, MD, MS Surgery Medicare: Medicare Enrolled Practice Location: 800 Austin St Ste 563, Evanston, IL 60202 Phone: 847-869-0522 |