Mr Peter Joseph Puthenveetil, MD | |
401 Greenleaf St, Ste 1, Park City, IL 60085-5744 | |
(847) 662-0978 | |
(847) 662-1395 |
Full Name | Mr Peter Joseph Puthenveetil |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 401 Greenleaf St, Park City, 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 |
---|---|---|---|
1538268230 | NPI | - | NPPES |
036108104 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036108104 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Home Health Care Serv | Lombard, IL | Home health agency |
Central Dupage Hospital | Winfield, IL | Hospital |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Vista Medical Center East | Waukegan, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenleaf Medical Associates S.c. | 3870491277 | 2 |
Entity Name | Greenleaf Medical Associates S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447310479 PECOS PAC ID: 3870491277 Enrollment ID: O20031223000099 |
Mailing Address | Practice Location Address |
---|---|
Mr Peter Joseph Puthenveetil, MD 401 Greenleaf St, Ste 1, Park City, IL 60085-5744 Ph: (847) 662-0978 | Mr Peter Joseph Puthenveetil, MD 401 Greenleaf St, Ste 1, Park City, IL 60085-5744 Ph: (847) 662-0978 |
Dr. Sheila Varghese Maliekel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 Greenleaf St, Suite One, Park City, IL 60085 Phone: 847-662-0978 Fax: 847-662-1395 |