Jennifer Michelle Sardone-ponnappan, MD | |
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
(708) 783-2486 | |
(708) 783-2452 |
Full Name | Jennifer Michelle Sardone-ponnappan |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 3249 Oak Park Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851599583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036124549 (Illinois) | Primary |
207R00000X | Internal Medicine | 45746 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola Medicine Home Care | Oak brook, IL | Home health agency |
Macneal Hospital | Berwyn, IL | Hospital |
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola Medical Group Llc | 6305109547 | 92 |
Entity Name | Gottlieb Community Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Entity Name | Loyola Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Michelle Sardone-ponnappan, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-2486 | Jennifer Michelle Sardone-ponnappan, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-2486 |
Rekik Abebe Degef, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 708-783-3401 Fax: 708-783-3341 | |
Dr. Robert C Lichtenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Suite 201, Berwyn, IL 60402 Phone: 708-783-2055 Fax: 708-783-2181 | |
Dr. Mark L Goode, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Suite 405, Berwyn, IL 60402 Phone: 708-783-2644 Fax: 708-783-0514 | |
Mr. John D Brofman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 815-463-8994 Fax: 815-463-8946 | |
Roberto J Gutierrez, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3223 Harlem Ave, Berwyn, IL 60402 Phone: 708-484-1800 Fax: 708-484-1801 | |
Sheena Reddy Kodavaluru, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Macneal Hospital, Berwyn, IL 60402 Phone: 708-783-9100 | |
Dr. Angela Dianira Alcarraz Bedrillana, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-6566 Fax: 708-783-6566 |