| Debarati Banerji Bose, MD | |
|
6701 Us Highway 34, Oswego, IL 60543-9129 | |
| (630) 646-4255 | |
| (630) 646-4256 |
| Full Name | Debarati Banerji Bose |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6701 Us Highway 34, Oswego, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982823100 | NPI | - | NPPES |
| 19828231001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036117495 (Illinois) | Primary |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Debarati Banerji Bose, MD 6701 Us Highway 34, Oswego, IL 60543-9129 Ph: (630) 646-4255 | Debarati Banerji Bose, MD 6701 Us Highway 34, Oswego, IL 60543-9129 Ph: (630) 646-4255 |
Catherine Chu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 | |
Dr. Jennifer L Kurka, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4789 Route 71, Oswego, IL 60543 Phone: 630-898-5969 Fax: 630-898-5837 | |
Brian D Oostman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 | |
Dr. Alan Marshal Haan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 N Madison St, Oswego, IL 60543 Phone: 630-554-8431 | |
Mansi Sheth, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 | |
Jennifer R Crane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 | |
Roy F Houlahan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 |