Dr Sudheer Earanky, DO | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-4533 | |
Not Available |
Full Name | Dr Sudheer Earanky |
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Gender | Male |
Speciality | Family Medicine - Addiction Medicine |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184071896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101022846 (Michigan) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 036152212 (Illinois) | Primary |
Entity Name | Family Medical Center Of Michigan,inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265591812 PECOS PAC ID: 2769575653 Enrollment ID: O20070910000059 |
Entity Name | Michigan Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982060935 PECOS PAC ID: 8820396419 Enrollment ID: O20160414001942 |
Mailing Address | Practice Location Address |
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Dr Sudheer Earanky, DO 1230 N Artesian Ave Apt 1, Chicago, IL 60622-2932 Ph: (904) 338-8953 | Dr Sudheer Earanky, DO 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-4533 |
Eva Bading, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (1211 Roosevelt Rd. ), Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-5201 | |
Michael Gregory Mank, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5446 | |
Chelsea Leigh Fournier, Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 586-588-0217 | |
Kenneth Kin Kan Chan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 Phone: 708-216-6006 Fax: 708-216-2683 | |
Peter Lyson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-783-3913 | |
Dr. Jessica Carrie Dingman Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |