| Mr Peter Joseph Puthenveetil, MD | |
|
401 Greenleaf St, Ste 1, Park City, IL 60085-5744 | |
| (847) 662-0978 | |
| (847) 662-1395 |
| Full Name | Mr Peter Joseph Puthenveetil |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 401 Greenleaf St, Park City, 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 |
|---|---|---|---|
| 1538268230 | NPI | - | NPPES |
| 036108104 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036108104 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Home Health Care Serv | Lombard, IL | Home health agency |
| Assure Home Healthcare, Inc | Skokie, IL | Home health agency |
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Vista Medical Center East | Waukegan, IL | Hospital |
| Entity Name | Greenleaf Medical Associates S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447310479 PECOS PAC ID: 3870491277 Enrollment ID: O20031223000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Joseph Puthenveetil, MD 401 Greenleaf St, Ste 1, Park City, IL 60085-5744 Ph: (847) 662-0978 | Mr Peter Joseph Puthenveetil, MD 401 Greenleaf St, Ste 1, Park City, IL 60085-5744 Ph: (847) 662-0978 |
Dr. Sheila Varghese Maliekel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 Greenleaf St, Suite One, Park City, IL 60085 Phone: 847-662-0978 Fax: 847-662-1395 |