George Kaliyadan, | |
1000 E Rollins Rd, Round Lake Beach, IL 60073-2228 | |
(847) 367-5400 | |
(847) 367-4769 |
Full Name | George Kaliyadan |
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Gender | Male |
Speciality | Pediatrics |
Location | 1000 E Rollins Rd, Round Lake Beach, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679960959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA09641500 (New Jersey) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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George Kaliyadan, 1000 E Rollins Rd, Round Lake Beach, IL 60073-2228 Ph: (847) 367-5400 | George Kaliyadan, 1000 E Rollins Rd, Round Lake Beach, IL 60073-2228 Ph: (847) 367-5400 |
Deborah Segil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 224 Clarendon Dr., Round Lake Beach, IL 60073 Phone: 847-984-5100 | |
Felissa B. Kreindler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-367-5400 Fax: 847-367-4769 | |
Dr. Uchenna Nneka Osayimwen, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-367-5400 Fax: 847-367-4769 | |
Teresita Mismanos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 224 Clarendon Dr., Round Lake Beach, IL 60073 Phone: 847-984-5100 |