Mithila Janakiram, MD | |
7020 W 79th St, Bridgeview, IL 60455-4030 | |
(708) 599-8200 | |
Not Available |
Full Name | Mithila Janakiram |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 7020 W 79th St, Bridgeview, 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 |
---|---|---|---|
1750313961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-114953 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola Medicine Home Care | Oak brook, IL | Home health agency |
Loyola University Medical Center | Maywood, IL | Hospital |
Macneal Hospital | Berwyn, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Loyola Medical Group Llc | 6305109547 | 92 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
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 |
---|---|
Mithila Janakiram, MD 2368 Paysphere Cir, Chicago, IL 60674-2368 Ph: () - | Mithila Janakiram, MD 7020 W 79th St, Bridgeview, IL 60455-4030 Ph: (708) 599-8200 |
Otto K Lee, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7020 W 79th St, Bridgeview, IL 60455 Phone: 708-599-8200 Fax: 708-599-8306 |