Kaitlin Wanta, DO | |
17495 La Grange Rd, Tinley Park, IL 60487-7581 | |
(630) 717-2600 | |
Not Available |
Full Name | Kaitlin Wanta |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 11 Years |
Location | 17495 La Grange Rd, Tinley Park, 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 |
---|---|---|---|
1386986537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036-140709 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dupage Medical Group Ltd | 5496667941 | 1186 |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
---|---|
Kaitlin Wanta, DO Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Kaitlin Wanta, DO 17495 La Grange Rd, Tinley Park, IL 60487-7581 Ph: (630) 717-2600 |
Dr. Vivek Kaistha, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6703 159th St, 103, Tinley Park, IL 60477 Phone: 708-342-3000 Fax: 708-342-3060 | |
Dr. Mary Kanashiro, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6703 W 159th Street, Suite 109, Tinley Park, IL 60477 Phone: 708-532-1104 Fax: 708-532-5539 | |
Dr. Dinesh K Jain, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 16532 Oak Park Ave, Suite 101, Tinley Park, IL 60477 Phone: 708-429-2220 Fax: 708-342-1521 | |
Fares Hamad, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-226-7000 | |
Joseph C Beck, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6701 159th St, Suite 2, Tinley Park, IL 60477 Phone: 708-798-9475 Fax: 708-798-9485 | |
Dr. Angelica L Tolentino, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-226-7000 Fax: 708-226-7170 |