Manohar L Jethani, MD | |
3635 Harlem Ave, Berwyn, IL 60402-3212 | |
(708) 447-9402 | |
(708) 447-3246 |
Full Name | Manohar L Jethani |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 58 Years |
Location | 3635 Harlem Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366529505 | NPI | - | NPPES |
036046173 | Other | IL | LICENSE # |
14D0857955 | Other | IL | CLIA # |
01616688 | Other | IL | BC/BS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036046173 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Macneal Hospital | Berwyn, IL | Hospital |
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthstop Sc | 6305176884 | 3 |
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 |
Entity Name | Healthstop Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225684640 PECOS PAC ID: 6305176884 Enrollment ID: O20190926000147 |
Mailing Address | Practice Location Address |
---|---|
Manohar L Jethani, MD 3635 Harlem Ave, Berwyn, IL 60402-3212 Ph: (708) 447-9402 | Manohar L Jethani, MD 3635 Harlem Ave, Berwyn, IL 60402-3212 Ph: (708) 447-9402 |
Mr. Micah James Leestma, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Nereida Esparza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Maria Ramirez, Family Medicine Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Bradford S. Wainer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6840 Windsor Ave, Berwyn, IL 60402 Phone: 708-484-0042 Fax: 708-749-5489 | |
Dr. Catherine Anichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6326 Cermak Rd, Berwyn, IL 60402 Phone: 708-303-9234 Fax: 305-698-6536 | |
Elsa Valero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-0044 | |
Dr. Ron Chacko, Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-8090 Fax: 708-445-4444 |