Dr Nishant Srinivasan, MD | |
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
(708) 783-2226 | |
Not Available |
Full Name | Dr Nishant Srinivasan |
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Gender | Male |
Speciality | Pediatrics |
Location | 3249 Oak Park Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649582503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125055748 (Illinois) | Secondary |
208M00000X | Hospitalist | 036130726 (Illinois) | Secondary |
208000000X | Pediatrics | 036130726 (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 |
Entity Name | Rush University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Gottlieb Community Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Mailing Address | Practice Location Address |
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Dr Nishant Srinivasan, MD 1500 S California Ave, F444, Chicago, IL 60608-1729 Ph: (773) 257-6183 | Dr Nishant Srinivasan, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-2226 |
Lori J Weiss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6840 Windsor Ave, Berwyn, IL 60402 Phone: 708-484-0042 Fax: 708-749-5489 | |
Dr. Pablo E Chagoya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6545 Cermak Rd, Berwyn, IL 60402 Phone: 708-788-0077 | |
Reema Mohammed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave Ste 201, Berwyn, IL 60402 Phone: 708-795-5502 | |
Joaquin Lopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6238 Cermak Rd, Berwyn, IL 60402 Phone: 708-795-5020 Fax: 708-795-5023 | |
Damayanti S Hathiwala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave, Suite 201, Berwyn, IL 60402 Phone: 708-795-5502 Fax: 708-795-5516 | |
Dr. Janardhan Mydam, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Dr. Joseph Torre, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 |