| Dr Haritha Dukkipati, MD | |
|
1775 Dempster St, Park Ridge, IL 60068-1143 | |
| (847) 803-1000 | |
| Not Available |
| Full Name | Dr Haritha Dukkipati |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 1775 Dempster St, Park Ridge, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811289424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 036.143074 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036.143074 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Hospital | Chicago, IL | Hospital |
| Louis A Weiss Memorial Hospital | Chicago, IL | Hospital |
| University Of Illinois Hospital | Chicago, IL | Hospital |
| West Suburban Medical Center | Oak park, IL | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Anthony Health Affiliates | 1254321474 | 76 |
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Resilience Healthcare - Lakefront Medical Associates Llc | 5991046468 | 38 |
| Singleton Associates Pa | 6305731118 | 635 |
| Singleton Associates Pa | 6305731118 | 635 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Advanced Radiology Consultants Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750380119 PECOS PAC ID: 7113822784 Enrollment ID: O20040109000165 |
| Entity Name | Saint Anthony Health Affiliates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881086064 PECOS PAC ID: 1254321474 Enrollment ID: O20040518000419 |
| Entity Name | Integrated Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20170622002656 |
| Entity Name | Synergy Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802986 PECOS PAC ID: 7719877737 Enrollment ID: O20181119002748 |
| Entity Name | Resilience Healthcare - Lakefront Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205301926 PECOS PAC ID: 5991046468 Enrollment ID: O20190410000827 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20201112000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Haritha Dukkipati, MD 25 E Superior St, Unit 3301, Chicago, IL 60611-2547 Ph: (989) 415-6637 | Dr Haritha Dukkipati, MD 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 803-1000 |
Michael S. Siegfried, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Dr. Tanya M Powell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln, Park Ridge, IL 60068 Phone: 630-205-6612 Fax: 847-698-0601 | |
John V. Phillips, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Thomas Grobelny, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 | |
Samuel Thomas Rajkowski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 | |
Anil Rao, MD Radiology Medicare: Medicare Enrolled Practice Location: 1775 W Dempster St Dept Of, Park Ridge, IL 60068 Phone: 847-723-8236 Fax: 847-723-8522 | |
Dr. Mara B Stephenson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 |