| Mithila Janakiram, MD | |
|
7020 W 79th St, Bridgeview, IL 60455-4030 | |
| (708) 599-8200 | |
| Not Available |
| Full Name | Mithila Janakiram |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 7020 W 79th St, Bridgeview, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750313961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-114953 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola Medicine Home Care | Oak brook, IL | Home health agency |
| Tec Home Health, Llc | Des plaines, IL | Home health agency |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Macneal Hospital | Berwyn, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Gottlieb Community Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Mithila Janakiram, MD 2368 Paysphere Cir, Chicago, IL 60674-2368 Ph: () - | Mithila Janakiram, MD 7020 W 79th St, Bridgeview, IL 60455-4030 Ph: (708) 599-8200 |
Otto K Lee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7020 W 79th St, Bridgeview, IL 60455 Phone: 708-599-8200 Fax: 708-599-8306 |