Nikita Grama, | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(888) 584-7888 | |
Not Available |
Full Name | Nikita Grama |
---|---|
Gender | Female |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316567365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 135.001084 (Illinois) | Primary |
Provider Name | Illinois Bone And Joint Institute Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
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Nikita Grama, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Nikita Grama, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
Dr. Bryce Andrew Paschold, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 | |
Dr. John Junil Kim, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6906 | |
Mohammed Aslam, Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Francis Rottier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Maguire Center, Room 1700, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-1225 | |
Jill Patel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 | |
Dr. Katherine Elizabeth Dux, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 Fax: 708-216-1225 |