Dr Rom Mohan Kopparthi, MD | |
1775 Dempster St, Park Ridge, IL 60068-1143 | |
(847) 723-5313 | |
(847) 723-2338 |
Full Name | Dr Rom Mohan Kopparthi |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1775 Dempster St, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528151867 | NPI | - | NPPES |
036069720 | Other | IL | ILLINOIS LICENSE |
036069720IL | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036069720 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Rom Mohan Kopparthi, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Rom Mohan Kopparthi, MD 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-5313 |
Dr. Nour Akhras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Dr. Jurat Singh Rajpal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Second Floor, Park Ridge, IL 60068 Phone: 847-318-9330 | |
Dr. Peyton Cleary, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-5983 | |
Dr. Christopher M Jamerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Yacktman Pavilion, Park Ridge, IL 60068 Phone: 847-723-9557 | |
Susan Michele Unfer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9566 | |
Dr. William Richard Goodell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, 2nd Floor, Park Ridge, IL 60068 Phone: 847-723-9400 Fax: 847-723-8523 | |
Dr. Duane David Stich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Dempster St, Dept. Of Neonatology 2 South, Park Ridge, IL 60068 Phone: 847-723-5313 Fax: 847-723-2338 |