| Ira Kumar, MD | |
| 3700 W 203rd St Ste 201, Olympia Fields, IL 60461-1182 | |
| (708) 679-2880 | |
| (708) 503-3297 | 
| Full Name | Ira Kumar | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 3700 W 203rd St Ste 201, Olympia Fields, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528026432 | NPI | - | NPPES | 
| IL5686046 | Other | IL | MEDICARE PTAN | 
| 036097252 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 036097252 (Illinois) | Primary | 
| Entity Name | Specialty Physicians Of Illinois Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ira Kumar, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Ira Kumar, MD 3700 W 203rd St Ste 201, Olympia Fields, IL 60461-1182 Ph: (708) 679-2880 | 
| Brie-ann Alexandra Muller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260 | |
| Neela Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 W 203rd St, Suite 201, Olympia Fields, IL 60461 Phone: 708-679-2880 | |
| Richard Ceragioli, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 W 203rd St Ste 201b, Olympia Fields, IL 60461 Phone: 708-679-2880 | |
| Matt Stephen Hazelrigg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
| Dalila K Irons Holland, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-481-8883 Fax: 708-481-2917 |