Roderick Sarsaba, NP | |
490 W Myrick Ave, Addison, IL 60101-3452 | |
(773) 474-0791 | |
Not Available |
Full Name | Roderick Sarsaba |
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Gender | Male |
Speciality | Family Medicine |
Location | 490 W Myrick Ave, Addison, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487382313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 209.025685 (Illinois) | Primary |
Entity Name | Nova Medico Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871689208 PECOS PAC ID: 9133219827 Enrollment ID: O20071219000058 |
Mailing Address | Practice Location Address |
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Roderick Sarsaba, NP 490 W Myrick Ave, Addison, IL 60101-3452 Ph: (773) 474-0791 | Roderick Sarsaba, NP 490 W Myrick Ave, Addison, IL 60101-3452 Ph: (773) 474-0791 |
Ricardo Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Ekta Ohri, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Lake St, Suite 100, Addison, IL 60101 Phone: 630-516-0434 Fax: 630-516-0419 | |
Anastasia Munoz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Brian Steven Koecher, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Lake St, Suite 100, Addison, IL 60101 Phone: 630-516-0434 Fax: 630-516-0419 | |
Renato M Arias, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 W Lake St, Addison, IL 60101 Phone: 847-981-5767 Fax: 847-981-5765 | |
Dr. Laura B Boyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Riya Thomas, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 |