| Dr Sudheer Earanky, DO | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-4533 | |
| Not Available |
| Full Name | Dr Sudheer Earanky |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184071896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101022846 (Michigan) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 036152212 (Illinois) | Primary |
| Entity Name | Family Medical Center Of Michigan,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265591812 PECOS PAC ID: 2769575653 Enrollment ID: O20070910000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudheer Earanky, DO 1230 N Artesian Ave Apt 1, Chicago, IL 60622-2932 Ph: (904) 338-8953 | Dr Sudheer Earanky, DO 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-4533 |
Raymond Loza, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Eva Bading, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (1211 Roosevelt Rd. ), Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-5201 | |
Michael Gregory Mank, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5446 | |
Kenneth Kin Kan Chan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 Phone: 708-216-6006 Fax: 708-216-2683 | |
Dr. Jessica Carrie Dingman Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Amy Hagan Buchanan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1211 W Roosevelt Rd, Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-7915 |