| Dr Kalyan C Latchamsetty, MD | |
|
2040 Ogden Ave Ste 401, Aurora, IL 60504-7208 | |
| (630) 692-5700 | |
| (630) 692-5750 |
| Full Name | Dr Kalyan C Latchamsetty |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 26 Years |
| Location | 2040 Ogden Ave Ste 401, Aurora, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699724138 | NPI | - | NPPES |
| 036113643 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036113643 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Rush University Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Copley Memorial Hospital Inc | 4587656921 | 49 |
| Entity Name | Rush-copley Medical Group Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093075848 PECOS PAC ID: 7618864877 Enrollment ID: O20040310001029 |
| Entity Name | Copley Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619466034 PECOS PAC ID: 4587656921 Enrollment ID: O20180530001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kalyan C Latchamsetty, MD 2040 Ogden Ave Ste 401, Aurora, IL 60504-7208 Ph: (630) 692-5700 | Dr Kalyan C Latchamsetty, MD 2040 Ogden Ave Ste 401, Aurora, IL 60504-7208 Ph: (630) 692-5700 |
Dr. Jonathan Hwaien Huang, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 2040 Ogden Ave Ste 401, Aurora, IL 60504 Phone: 630-692-5700 | |
Cornelius K Smith, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
Dr. Steve B Lowenthal, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2000 Ogden Ave, Aurora, IL 60504 Phone: 630-978-4971 | |
Dr. Naveen Divakaruni, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave Ofc 1, Aurora, IL 60506 Phone: 630-554-3456 Fax: 630-551-2970 | |
Dr. Safi Mohammed, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-264-8540 Fax: 630-264-8828 |