Sushane Gupta, | |
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
(708) 213-4200 | |
(708) 213-0144 |
Full Name | Sushane Gupta |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 5 Years |
Location | 17800 Kedzie Ave, Hazel Crest, 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 |
---|---|---|---|
1467015941 | NPI | - | NPPES |
036-159430 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036159430 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Advocate Trinity Hospital | Chicago, IL | Hospital |
Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cepamerica Illinois Llp | 3274793633 | 417 |
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
---|---|
Sushane Gupta, 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Sushane Gupta, 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-4200 |
Dr. Ronald Lawton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429 Phone: 773-363-1090 | |
Lindy Triebes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Veronica W Robinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Gameli Dekayie Bush, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Dr. Nadija Mara Rieser, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Zakia Haseena Ali, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Stewart Reingold, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Advocate South Suburban Hospital, Hazel Crest, IL 60429 Phone: 708-799-8000 |