Thirumazhisai Gunasekaran, | |
1675 Dempster St, 3rd Floor, Park Ridge, IL 60068-1110 | |
(847) 723-7700 | |
Not Available |
Full Name | Thirumazhisai Gunasekaran |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 1675 Dempster St, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083651749 | NPI | - | NPPES |
036084748 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 036084748 (Illinois) | Primary |
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 | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Entity Name | Center For Childrens Digestive Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588601942 PECOS PAC ID: 4880653492 Enrollment ID: O20041008000561 |
Mailing Address | Practice Location Address |
---|---|
Thirumazhisai Gunasekaran, 1675 Dempster St, 3rd Floor, Park Ridge, IL 60068-1110 Ph: () - | Thirumazhisai Gunasekaran, 1675 Dempster St, 3rd Floor, Park Ridge, IL 60068-1110 Ph: (847) 723-7700 |
Dr. Nour Akhras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Dr. Jurat Singh Rajpal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Second Floor, Park Ridge, IL 60068 Phone: 847-318-9330 | |
Dr. Peyton Cleary, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-5983 | |
Dr. Christopher M Jamerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Yacktman Pavilion, Park Ridge, IL 60068 Phone: 847-723-9557 | |
Susan Michele Unfer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9566 | |
Dr. William Richard Goodell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, 2nd Floor, Park Ridge, IL 60068 Phone: 847-723-9400 Fax: 847-723-8523 | |
Dr. Duane David Stich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Dempster St, Dept. Of Neonatology 2 South, Park Ridge, IL 60068 Phone: 847-723-5313 Fax: 847-723-2338 |