| Dr Gavin Shokar, MD | |
|
250 W Kenwood Ave, Decatur, IL 62526-4371 | |
| (217) 872-3800 | |
| (217) 872-0849 |
| Full Name | Dr Gavin Shokar |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 14 Years |
| Location | 250 W Kenwood Ave, Decatur, 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 |
|---|---|---|---|
| 1568727659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125-062390 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Presence Saints Mary And Elizabeth Medical Center | Chicago, IL | Hospital |
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 277 |
| Chicago Physician Services Pc | 5496194698 | 25 |
| Lake County Acute Care Llp | 5395747281 | 17 |
| Cook Physician Services, P.c. | 4082053434 | 57 |
| Entity Name | Chicago Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538921424 PECOS PAC ID: 5496194698 Enrollment ID: O20240422000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gavin Shokar, MD 250 W Kenwood Ave, Decatur, IL 62526-4371 Ph: (217) 872-3800 | Dr Gavin Shokar, MD 250 W Kenwood Ave, Decatur, IL 62526-4371 Ph: (217) 872-3800 |
Dr. Saranya Tharmakulasingam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Mehrdad Jelodar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3811 Fax: 217-872-0849 | |
Dr. Mohammed J Ahmed, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Amna Karim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Brooke Nicole Ballard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-864-2449 | |
Dr. Mohammud Baleegh, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Amisha Kamath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |