| Krishna R Mudimbi, MD | |
|
1775 Dempster St, Park Ridge, IL 60068-1143 | |
| (847) 723-2210 | |
| (847) 723-3532 |
| Full Name | Krishna R Mudimbi |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 27 Years |
| Location | 1775 Dempster St, Park Ridge, 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 |
|---|---|---|---|
| 1477728475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 68303 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 036153373 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| The University Of Chicago | 7719899426 | 1421 |
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna R Mudimbi, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Krishna R Mudimbi, MD 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-2210 |
Nancy Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Lutheran General Hospital, 1775 Dempster Ave, Park Ridge, IL 60068 Phone: 847-723-1773 | |
Annabelle Mangan Levine, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
David Tian Chin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St Ste Aip, Park Ridge, IL 60068 Phone: 800-655-2656 Fax: 412-822-7411 | |
Linda Castaneda, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Jesse Tyler Nelson, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-6522 | |
Caroline Ter Rahe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Ethan Jordan Parnass, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-723-3532 |