Facundo Benito Dovale, MD | |
20660 Caton Farm Rd, Unit F, Crest Hill, IL 60403-1201 | |
(815) 714-5430 | |
(815) 714-5369 |
Full Name | Facundo Benito Dovale |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 20660 Caton Farm Rd, Crest Hill, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689798696 | NPI | - | NPPES |
1635426 | Other | IL | BCBS |
036085934 2 | Medicaid | IL | |
1620404 | Other | IL | BCBS |
01633171 | Other | IL | BCBS |
036085934 3 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036085934 (Illinois) | Primary |
Entity Name | Elemental Care - Health & Wellness Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568908739 PECOS PAC ID: 6709160211 Enrollment ID: O20170301001134 |
Mailing Address | Practice Location Address |
---|---|
Facundo Benito Dovale, MD 20660 Caton Farm Rd, Unit F, Crest Hill, IL 60403-1201 Ph: (815) 714-5430 | Facundo Benito Dovale, MD 20660 Caton Farm Rd, Unit F, Crest Hill, IL 60403-1201 Ph: (815) 714-5430 |
Veena Nadkarni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2222 Weber Rd, Crest Hill, IL 60403 Phone: 815-741-9714 Fax: 815-744-5137 | |
Jose Rivera Guerrero, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-280-5796 | |
Dr. Farhana Pyarali Alvi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2208 Weber Rd, Unit A, Crest Hill, IL 60403 Phone: 815-725-1118 Fax: 815-725-1198 | |
Shwetha Manjunath, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2222 Weber Rd, Crest Hill, IL 60403 Phone: 224-717-6206 |