Rajendra Shrivastav, MD | |
1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 | |
(815) 842-3023 | |
(815) 842-3241 |
Full Name | Rajendra Shrivastav |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1512 W Reynolds St, Pontiac, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952378309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | (Illinois) | Primary |
207P00000X | Emergency Medicine | (Illinois) | Primary |
Entity Name | Illinois Emergency Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861633380 PECOS PAC ID: 2365341567 Enrollment ID: O20040107000479 |
Entity Name | Illinois Emergency Staffing Solutions, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050 |
Entity Name | Hcc Region Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528237559 PECOS PAC ID: 1759453178 Enrollment ID: O20090529000084 |
Mailing Address | Practice Location Address |
---|---|
Rajendra Shrivastav, MD 1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 Ph: (815) 842-3023 | Rajendra Shrivastav, MD 1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 Ph: (815) 842-3023 |
Richard Ruff, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 708-383-6200 | |
John Rinker, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3381 Fax: 815-842-2861 | |
Laurel Kietzman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 | |
Kenneth Velez, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1306 N Ann St, Pontiac, IL 61764 Phone: 815-842-3429 | |
Dr. Vanessa L Pitts, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 | |
Daniel Butterbach, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 708-783-9100 |