| Gaurang Gujarathi, DO | |
|
13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | |
| (708) 478-4224 | |
| (708) 274-3299 |
| Full Name | Gaurang Gujarathi |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 15 Years |
| Location | 13011 S 104th Ave Ste 100, Palos Park, 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 |
|---|---|---|---|
| 1124314349 | NPI | - | NPPES |
| 036133707 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036133707 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Mary's Hospital-kankakee | Kankakee, IL | Hospital |
| Iroquois Memorial Hospital | Watseka, IL | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Carle Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 278 |
| Entity Name | Prime Healthcare Illinois Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023837689 PECOS PAC ID: 5597275685 Enrollment ID: O20250609000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Gaurang Gujarathi, DO 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 478-3600 | Gaurang Gujarathi, DO 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 478-4224 |
Josslyn Mckenna, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 |
Dr. Robert A Iaffaldano, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 |
Dr. Mohammed Hasan Khan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-478-3600 Fax: 708-274-3299 |
Noel Camba, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-478-3600 Fax: 708-478-3522 |
Dr. Julia Caitlin Espel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 Phone: 708-274-4900 Fax: 708-274-4949 |
Dr. Tabassum Hanif, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11900 Southwest Hwy, Palos Park, IL 60464 Phone: 708-274-4900 Fax: 708-274-4949 |
Dr. Robert C Prentice, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 |