| Keshava Medical Center Ltd | |
|
7845 S Cottage Grove Ave Suite # 109 Chicago IL 60619-3100 | |
| (773) 783-8793 | |
| (773) 783-8794 |
| Full Name | Keshava Medical Center Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 7845 S Cottage Grove Ave, Chicago, Illinois |
| Authorized Official Name and Position | Pramode K Keshava (DIRECTOR) |
| Authorized Official Contact | 7737838793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keshava Medical Center Ltd 9000 Kilkenny Dr Darien IL 60561-8451 Ph: (630) 910-8157 | Keshava Medical Center Ltd 7845 S Cottage Grove Ave Suite # 109 Chicago IL 60619-3100 Ph: (773) 783-8793 |
| NPI Number | 1124228424 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 8729170808 |
|---|---|
| Medicare Enrollment ID | O20070821000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124228424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036094000 (Illinois) | Primary |
| Provider Name | Pramode Kumar Keshava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285670232 PECOS PAC ID: 1254372360 Enrollment ID: I20050519000235 |
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