| Dr Jyothi V Thota, MD | |
|
675 W North Ave, Suite 101, Melrose Park, IL 60160-1634 | |
| (708) 681-7670 | |
| (708) 681-7672 |
| Full Name | Dr Jyothi V Thota |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 675 W North Ave, Melrose Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205808102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 125047019 (Illinois) | Primary |
| Entity Name | Bonaventure Medical Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Entity Name | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| 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 |
| Entity Name | Northwest Associates For Women's Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033143532 PECOS PAC ID: 2264408038 Enrollment ID: O20040903000194 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Entity Name | Susan Orhan Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932113362 PECOS PAC ID: 5991712911 Enrollment ID: O20060316000404 |
| Entity Name | Obhg Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jyothi V Thota, MD 675 W North Ave, Suite 101, Melrose Park, IL 60160-1634 Ph: (708) 681-7670 | Dr Jyothi V Thota, MD 675 W North Ave, Suite 101, Melrose Park, IL 60160-1634 Ph: (708) 681-7670 |
Laura E Loya-frank, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 W Lake St, Melrose Park, IL 60160 Phone: 708-343-8512 Fax: 708-343-8529 | |
James J Gomez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8321 W North Ave, Melrose Park, IL 60160 Phone: 708-681-2298 Fax: 708-681-2398 | |
Dr. Murali K Vinta, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1111 Superior St, Suite 304, Melrose Park, IL 60160 Phone: 708-344-7800 Fax: 708-344-7804 | |
Scott M. Pierce, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 675 W North Ave, Ste 505, Melrose Park, IL 60160 Phone: 708-450-4545 Fax: 708-344-2629 | |
Ms. Maureen Ellen Ruder, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Suite 207, Melrose Park, IL 60160 Phone: 708-406-3040 Fax: 708-406-3059 | |
Debra J. O'malley, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 675 W North Ave, Suite 512, Melrose Park, IL 60160 Phone: 708-681-7643 Fax: 708-681-7860 |