| Dr Janardhan Mydam, MD | |
|
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
| (708) 783-2226 | |
| Not Available |
| Full Name | Dr Janardhan Mydam |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 3249 Oak Park Ave, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396024972 | NPI | - | NPPES |
| 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 | Gottlieb Community Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Janardhan Mydam, MD 3901 Beaubien St, 3t72, Detroit, MI 48201-2119 Ph: (313) 745-5533 | Dr Janardhan Mydam, MD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-2226 |
Haris Aleem, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Udochukwu O Asonye, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
James Gordon Martin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-0437 Fax: 708-783-6919 | |
Aijaz Walji, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Tonia Ann Gooden, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, Berwyn, IL 60402 Phone: 708-783-3400 |