Dr Niketa Kataria, MD | |
350 N Wall St, Kankakee, IL 60901-2991 | |
(815) 933-1671 | |
Not Available |
Full Name | Dr Niketa Kataria |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 350 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780115212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036160856 (Illinois) | Primary |
Entity Name | Central Illinois Radiological Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
Mailing Address | Practice Location Address |
---|---|
Dr Niketa Kataria, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272 | Dr Niketa Kataria, MD 350 N Wall St, Kankakee, IL 60901-2991 Ph: (815) 933-1671 |
Dr. Howard I Roth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Ruiz De Luzuriaga, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7525 | |
Stephen Supple, MD Radiology Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Ryan J Meiners, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Tyler Hall Cornelius, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Supriya Gupta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 877-737-4636 | |
Jeffery P Mendell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 |