Nupur Mittal, MD | |
1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 | |
(312) 942-5983 | |
(312) 563-2519 |
Full Name | Nupur Mittal |
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Gender | Female |
Speciality | Pediatrics |
Location | 1725 W. Harrison St Suite 710, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003044280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-131173 (Illinois) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Rush University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Rush University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871560961 PECOS PAC ID: 5496744005 Enrollment ID: O20040510000386 |
Mailing Address | Practice Location Address |
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Nupur Mittal, MD 1620 W. Congress Pkwy Suite 447 Pavilion, C/o Emily Susskind, Rush University Medical Center,, Chicago, IL 60612 Ph: (312) 942-7098 | Nupur Mittal, MD 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Ph: (312) 942-5983 |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |