| Dr Deepti M Tolia, DO | |
|
6374 N Lincoln Ave, Suite 203, Chicago, IL 60659-1275 | |
| (773) 509-0023 | |
| (773) 509-1839 |
| Full Name | Dr Deepti M Tolia |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6374 N Lincoln Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316071640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | (Illinois) | Primary |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deepti M Tolia, DO 1441 W Wrightwood Ave Unit A, Chicago, IL 60614-1121 Ph: (630) 728-2477 | Dr Deepti M Tolia, DO 6374 N Lincoln Ave, Suite 203, Chicago, IL 60659-1275 Ph: (773) 509-0023 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 | |
Amy Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |