| Gaurang Gujarathi, DO | |
|
1710 W Court St, Kankakee, IL 60901 | |
| (815) 936-3200 | |
| (815) 936-3203 |
| Full Name | Gaurang Gujarathi |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 15 Years |
| Location | 1710 W Court St, Kankakee, 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 |
|---|---|---|
| Presence St Marys Hospital | Kankakee, IL | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 277 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Gaurang Gujarathi, DO 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 Ph: (630) 914-2898 | Gaurang Gujarathi, DO 1710 W Court St, Kankakee, IL 60901 Ph: (815) 936-3200 |
Dr. Martin T Phillips, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 108, Kankakee, IL 60901 Phone: 888-220-6432 Fax: 630-654-4253 | |
Dr. Raju Zachariah Abraham, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846 | |
Dr. Lynn G Brown, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 | |
Mario Gerard Massullo, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1710 W. Court St., Kankakee, IL 60901 Phone: 815-936-3200 Fax: 815-936-3203 | |
Dr. Samrat Umesh Khanna, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846 | |
Dr. Rahul Patel, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
James Choi, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St Ste P410, Kankakee, IL 60901 Phone: 815-933-3814 |