| Dr Sanjay Pradeep Keni, MD | |
|
6420 W 127th St, Palos Heights, IL 60463-2269 | |
| (708) 371-3090 | |
| (708) 371-1529 |
| Full Name | Dr Sanjay Pradeep Keni |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 27 Years |
| Location | 6420 W 127th St, Palos Heights, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720273378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 036121277 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Entity Name | Pradeep A. Keni M. D. S. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235231366 PECOS PAC ID: 3375612476 Enrollment ID: O20080515000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanjay Pradeep Keni, MD 6420 W 127th St, Palos Heights, IL 60463-2269 Ph: (708) 371-3090 | Dr Sanjay Pradeep Keni, MD 6420 W 127th St, Palos Heights, IL 60463-2269 Ph: (708) 371-3090 |
Darius Bliznikas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7110 W 127th St, Suite 210, Palos Heights, IL 60463 Phone: 312-593-0886 Fax: 312-419-0547 | |
Dr. Susan Thayer Lyon, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7350 W College Dr, Palos Heights, IL 60463 Phone: 708-361-9199 Fax: 708-361-9299 | |
Dr. Vytenis T Grybauskas, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7350 W College Dr Ste 208, Palos Heights, IL 60463 Phone: 708-361-9199 Fax: 708-361-9299 |