Milan Diwakar Mulye, MD | |
19550 Governors Hwy Ste 2500, Flossmoor, IL 60422-2145 | |
(708) 799-7600 | |
(708) 799-8848 |
Full Name | Milan Diwakar Mulye |
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Gender | Female |
Speciality | Pediatrics |
Location | 19550 Governors Hwy Ste 2500, Flossmoor, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720377922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60548135 (Washington) | Secondary |
208000000X | Pediatrics | 036.134888 (Illinois) | Primary |
Entity Name | Virginia Mason Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
Mailing Address | Practice Location Address |
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Milan Diwakar Mulye, MD 5841 S Maryland Ave # Mc6082, Chicago, IL 60637-1443 Ph: (773) 834-0497 | Milan Diwakar Mulye, MD 19550 Governors Hwy Ste 2500, Flossmoor, IL 60422-2145 Ph: (708) 799-7600 |
Dr. William G. Klipfel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3235 Vollmer Rd Ste 126, Flossmoor, IL 60422 Phone: 708-679-0408 Fax: 708-679-0488 | |
Mark Roome, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Ste 2500, Flossmoor, IL 60422 Phone: 708-799-7600 Fax: 708-799-8848 | |
Dr. Cesar M Puray, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1835 Dixie Hwy Ste 104, Flossmoor, IL 60422 Phone: 708-799-0990 Fax: 708-799-0991 | |
David Townsend, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Suite 2500, Flossmoor, IL 60422 Phone: 708-799-7600 Fax: 708-799-8848 |