Suresh H Wadhwani, MD SC | |
100 Provena Way, Bourbonnais, IL 60914-4796 | |
(815) 936-3200 | |
Not Available |
Full Name | Suresh H Wadhwani |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 46 Years |
Location | 100 Provena Way, Bourbonnais, 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 |
---|---|---|---|
1659406510 | NPI | - | NPPES |
036073974 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 036073974 (Illinois) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 036073974 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence St Marys Hospital | Kankakee, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Mailing Address | Practice Location Address |
---|---|
Suresh H Wadhwani, MD SC 455 W Court St, Suite 302, Kankakee, IL 60901-3679 Ph: (815) 936-3250 | Suresh H Wadhwani, MD SC 100 Provena Way, Bourbonnais, IL 60914-4796 Ph: (815) 936-3200 |
Dr. Lynn A Mcdonald, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 482 Main St Nw, Bourbonnais, IL 60914 Phone: 815-936-3370 | |
Nadeem Ansari, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914 Phone: 815-935-2784 Fax: 815-935-5687 | |
Dr. Dharam R Anand, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Provena Way Ste D, Bourbonnais, IL 60914 Phone: 815-932-9210 Fax: 815-932-9220 | |
Dr. Paritosh Tiwari, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20 Heritage Dr, Bourbonnais, IL 60914 Phone: 815-937-4880 Fax: 815-936-5173 | |
Krupa Mahesh Shah, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 N Convent St Ste 1, Bourbonnais, IL 60914 Phone: 815-937-5200 Fax: 815-937-2063 | |
Dr. Sarat Yalamanchili, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1521 N Convent St Ste 101, Bourbonnais, IL 60914 Phone: 815-937-4500 Fax: 815-937-4777 | |
Sara Elizabeth Tan Yap, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 100 Fitness Dr, Bourbonnais, IL 60914 Phone: 815-936-8909 |