Madhuri Dave, DO | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 684-5354 | |
Not Available |
Full Name | Madhuri Dave |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 4440 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497140040 | NPI | - | NPPES |
1497140040 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 66579 (Wisconsin) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 036-161196 (Illinois) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Madhuri Dave, DO 29373 Network Pl, Chicago, IL 60673-4874 Ph: (847) 390-5900 | Madhuri Dave, DO 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5354 |
Dr. Saad Ahmed Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 | |
Karla Katherine Wehrheim, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 West 95th Street, Pediatric Cardiology, Oak Lawn, IL 60453 Phone: 708-648-5580 Fax: 708-684-4068 | |
Dr. Alexander James Javois, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Dr. Naveen Imran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Ms. Samrita Sawhney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 312-949-4200 Fax: 708-423-1899 | |
Daniella Nana Owusuwaah, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5341 | |
Dr. Verlainna Cathleen-shaw Callentine, M.D., M.ED. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4007 |