| Digestive Diseases Consultants Of Kankakee, Sc | |
|
1615 N. Convent St Ste 1 Bourbonnais IL 60914 | |
| (815) 937-5200 | |
| (815) 937-2063 |
| Full Name | Digestive Diseases Consultants Of Kankakee, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1615 N. Convent St, Bourbonnais, Illinois |
| Authorized Official Name and Position | Christina M O'connor (ADMINISTRATOR) |
| Authorized Official Contact | 8156028253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Diseases Consultants Of Kankakee, Sc 1615 N. Convent St Ste 1 Bourbonnais IL 60914 Ph: (815) 937-5200 | Digestive Diseases Consultants Of Kankakee, Sc 1615 N. Convent St Ste 1 Bourbonnais IL 60914 Ph: (815) 937-5200 |
| NPI Number | 1407966302 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 3476543646 |
|---|---|
| Medicare Enrollment ID | O20040518000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407966302 | NPI | - | NPPES |
| 1407966302 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Illinois) | Primary |
| Provider Name | Brian Charles Sasso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558460022 PECOS PAC ID: 6002859428 Enrollment ID: I20050729000131 |
| Provider Name | Jyothi D Patil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972537595 PECOS PAC ID: 2860401510 Enrollment ID: I20060407000533 |
| Provider Name | Noman H Siddiqui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982710216 PECOS PAC ID: 9830196732 Enrollment ID: I20061108000140 |
| Provider Name | Daniel Errampalli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689662975 PECOS PAC ID: 1759480304 Enrollment ID: I20070621000496 |
| Provider Name | Nikhil Bhargava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568649382 PECOS PAC ID: 3173685625 Enrollment ID: I20081218000061 |
| Provider Name | David B Sutherland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619976909 PECOS PAC ID: 9436149606 Enrollment ID: I20100206000255 |
| Provider Name | Thomas L Oconnor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760470033 PECOS PAC ID: 8628068897 Enrollment ID: I20100206000258 |
| Provider Name | Thomas M Betlej |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962486480 PECOS PAC ID: 0042349185 Enrollment ID: I20100527000333 |
| Provider Name | Ashish Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780847384 PECOS PAC ID: 5698991164 Enrollment ID: I20150521002711 |
| Provider Name | Matthew Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285863308 PECOS PAC ID: 2769793181 Enrollment ID: I20150625001373 |
| Provider Name | Sarah Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073979654 PECOS PAC ID: 0143527119 Enrollment ID: I20160318001649 |
| Provider Name | Christin M Hoffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780123091 PECOS PAC ID: 6709163983 Enrollment ID: I20170426002108 |
| Provider Name | Jamie Slade |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588924328 PECOS PAC ID: 7517266455 Enrollment ID: I20170714002867 |
| Provider Name | Krupa Mahesh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174968846 PECOS PAC ID: 7012252760 Enrollment ID: I20190516001681 |
| Provider Name | Dhaval Kirit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992153142 PECOS PAC ID: 0840535464 Enrollment ID: I20190828000739 |
| Provider Name | Shana Marie Teske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811521883 PECOS PAC ID: 5395176747 Enrollment ID: I20200519001058 |
| Provider Name | Alison Arocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233274 PECOS PAC ID: 0042608606 Enrollment ID: I20211101001716 |
Chinese Provider Group Of Illinois Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Park Pl Ste 2, Bourbonnais, IL 60914 Phone: 833-308-8876 | |
Nepomuceno Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Brown Blvd Ste 106, Bourbonnais, IL 60914 Phone: 815-937-8786 | |
Dr. Katie Maier Dc, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 662 N Convent St, Bourbonnais, IL 60914 Phone: 815-937-0446 | |
Keith A. Moss, M.d., Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Riverside Dr, Suite 2400, Bourbonnais, IL 60914 Phone: 815-935-2784 Fax: 815-935-5687 | |
Sarat Yalamanchili, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N Convent St Ste 101, Bourbonnais, IL 60914 Phone: 815-937-4500 Fax: 815-937-4777 | |
Riverside Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2080 N State Route 50, Bourbonnais, IL 60914 Phone: 815-936-6012 Fax: 815-936-7231 |