Krishna Mudimbi, MD | |
1775 Dempster St, Park Ridge, IL 60068-1143 | |
(847) 723-2210 | |
(847) 723-3532 |
Full Name | Krishna Mudimbi |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 26 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 |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3207 |
Advocate Health And Hospitals Corporation | 7810800935 | 2422 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Krishna Mudimbi, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Krishna 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 | |
Linda Castaneda, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Caroline Ter Rahe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Osman Nawazish Salaria, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-723-3532 | |
Dr. Jeffrey John Podnar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W. Dempster, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Christine D Prekezes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Manuel Gonzalezramirez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1775 W. Dempster, Park Ridge, IL 60068 Phone: 847-723-2210 |