| Dr Shruti Bahadur, MD | |
|
650 Dakota St Ste A, Crystal Lake, IL 60012 | |
| (815) 455-6000 | |
| (815) 356-1104 |
| Full Name | Dr Shruti Bahadur |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 650 Dakota St Ste A, Crystal Lake, 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 |
|---|---|---|---|
| 1508035304 | NPI | - | NPPES |
| 036120476 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036120476 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, 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 |
| Entity Name | Vna Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508826983 PECOS PAC ID: 6901879311 Enrollment ID: O20041004000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shruti Bahadur, MD 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 | Dr Shruti Bahadur, MD 650 Dakota St Ste A, Crystal Lake, IL 60012 Ph: (815) 455-6000 |
Haydee Cantu-manley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 Commerce Dr Ste 102, Crystal Lake, IL 60014 Phone: 815-524-2200 Fax: 877-461-6742 | |
Sana Fayyaz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 E Congress Pkwy Ste 350, Crystal Lake, IL 60014 Phone: 815-479-7490 Fax: 815-455-2654 | |
Yanbing Li, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-477-9826 | |
Heather Mechelle Cloum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500 | |
Dr. Racquel Norada Ramirez-dolleton V, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 781 Mchenry Ave, Crystal Lake, IL 60014 Phone: 815-459-2200 Fax: 815-459-0556 | |
Dr. Susan R Loring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Ste 190, Crystal Lake, IL 60014 Phone: 815-444-1966 Fax: 815-444-8699 |