Jaya Wadhawan, | |
1405 W Park St, Urbana, IL 61801-2367 | |
(217) 560-6300 | |
Not Available |
Full Name | Jaya Wadhawan |
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Gender | Female |
Speciality | Pediatrics |
Location | 1405 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033603279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036156097 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Jaya Wadhawan, 121 Dekalb Ave, Brooklyn, NY 11201-5425 Ph: () - | Jaya Wadhawan, 1405 W Park St, Urbana, IL 61801-2367 Ph: (217) 560-6300 |
Dr. Jacqueline Pena Velasco, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3088 Fax: 217-383-4468 | |
Sarah J Willard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1710 E Windsor Rd, Urbana, IL 61802 Phone: 217-344-9440 Fax: 217-344-4377 | |
Dr. Elizabeth A Bello, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 611 W Park St, Pediatric Critical Care Medicine, Urbana, IL 61801 Phone: 217-383-3088 | |
Malcolm C Hill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1818 E Windsor Rd, Urbana, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650 | |
Dr. Pramod Mallipaddi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Dr. Imran Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 315-350-9133 |