| Dr Manjula Dundoo, MD | |
|
901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527 | |
| (888) 220-6432 | |
| (630) 654-4253 |
| Full Name | Dr Manjula Dundoo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 901 Mcclintock Dr, Burr Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982772604 | NPI | - | NPPES |
| 036-117101 | Other | IL | ILLINOIS LICENSE |
| 206147 | Other | IL | MEDICARE GRP PTAN |
| 036117101 | Medicaid | IL | |
| F400314859 | Other | IL | MEDICARE INDIV PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 036117101 (Illinois) | Primary |
| Entity Name | Patient First Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548258072 PECOS PAC ID: 3274446596 Enrollment ID: O20031111000788 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manjula Dundoo, MD 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527-0872 Ph: (888) 220-6432 | Dr Manjula Dundoo, MD 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527 Ph: (888) 220-6432 |
Chad T Whelan, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Dr. Vyjayanthi Atluri, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6101 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-686-9000 | |
Alan R Leff, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Jayant Malhotra, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 25 Rodeo Dr, Burr Ridge, IL 60527 Phone: 630-789-6618 | |
Edgar Davila, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 124 79th St, Burr Ridge, IL 60527 Phone: 773-641-2037 | |
William Stoecker, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 901 Mcclintock Dr Ste 202, Burr Ridge, IL 60527 Phone: 888-220-6432 | |
Sarah H Glavin, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 |