| Dr Jonathan Sebastian Cordova, DO | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-9000 | |
| Not Available |
| Full Name | Dr Jonathan Sebastian Cordova |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609195601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 036132010 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036132010 (Illinois) | Primary |
| 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 | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Sebastian Cordova, DO 3232 Lake Ave Ste 330, Wilmette, IL 60091-1085 Ph: (847) 570-1795 | Dr Jonathan Sebastian Cordova, DO 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Dr. Sarah Elizabeth Perkins, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 Fax: 708-216-9033 | |
Maliha J Shareef, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 Phone: 708-216-4403 Fax: 708-216-3375 | |
Sean Diamond, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, (16621 S. 107th Court, Oarland Park, Il. 60467), Maywood, IL 60153 Phone: 708-873-7355 Fax: 708-460-6138 | |
Dr. Ranu Verma, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-9124 | |
Michael Clark, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Karishma Kadakia, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 798-327-9124 | |
Dr. Nancy Brown Adams, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4403 |