| Chirag A Dholakia, MD | |
|
12255 S 80th Ave Ste 204, Palos Heights, IL 60463-1284 | |
| (708) 923-4400 | |
| (708) 923-4295 |
| Full Name | Chirag A Dholakia |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 12255 S 80th Ave Ste 204, Palos Heights, 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 |
|---|---|---|---|
| 1972667624 | NPI | - | NPPES |
| 036126478 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1885 (Wisconsin) | Secondary |
| 208600000X | Surgery | 036126478 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Suburban Medical Group, Pllc | 5294155818 | 34 |
| Entity Name | Premier Suburban Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902412950 PECOS PAC ID: 5294155818 Enrollment ID: O20201021001250 |
| Mailing Address | Practice Location Address |
|---|---|
| Chirag A Dholakia, MD 12255 S 80th Ave Ste 204, Palos Heights, IL 60463-1284 Ph: (708) 923-4400 | Chirag A Dholakia, MD 12255 S 80th Ave Ste 204, Palos Heights, IL 60463-1284 Ph: (708) 923-4400 |
Franjo Siric, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4448 | |
Nandan Nath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Dr. Gabriel Abraham Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Dr. Imad Qayyum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12255 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 | |
Ijaz Qayyum, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 | |
Samer Rodwan Rajjoub, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 |