| Dr Pooja Srinivas Dewilde, DO | |
|
10350 Haligus Rd Ste 200, Huntley, IL 60142 | |
| (815) 338-6600 | |
| (847) 802-7203 |
| Full Name | Dr Pooja Srinivas Dewilde |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 10350 Haligus Rd Ste 200, Huntley, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194006742 | NPI | - | NPPES |
| 036134361 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.060705 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036134361 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Delnor Community Hospital | Geneva, IL | Hospital |
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| 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 Pooja Srinivas Dewilde, DO 10350 Haligus Rd Ste 200, Huntley, IL 60142-9545 Ph: (815) 338-6600 | Dr Pooja Srinivas Dewilde, DO 10350 Haligus Rd Ste 200, Huntley, IL 60142 Ph: (815) 338-6600 |
Dr. Laura Haley Tommaso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste A, Huntley, IL 60142 Phone: 847-802-7500 Fax: 847-802-7162 | |
Dr. Anita N Szeto, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7203 | |
Lisa Djinis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200b, Huntley, IL 60142 Phone: 847-669-3880 Fax: 847-669-2980 | |
Faryal Khan, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200b, Huntley, IL 60142 Phone: 847-669-3880 Fax: 847-669-2980 | |
Michelle Dianne Willis, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 12151 Regency Pkwy Ste 155, Huntley, IL 60142 Phone: 847-506-4400 | |
Marietta P Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7162 |