| Mrs Udaya Bontu, MD | |
|
300 Randall Rd, Geneva, IL 60134-4200 | |
| (630) 933-4700 | |
| (630) 933-4427 |
| Full Name | Mrs Udaya Bontu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 300 Randall Rd, Geneva, 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 |
|---|---|---|---|
| 1255339503 | NPI | - | NPPES |
| P00083896 | Other | IL | RAILROAD MEDICARE |
| 036091568 | Medicaid | IL | |
| 610033301 | Other | IL | DOL WORKCOMP |
| DB0387 | Other | IL | RAILROAD MEDICARE GROUP |
| 04532170 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036091568 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036091568 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| 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 | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Udaya Bontu, MD 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 933-4700 | Mrs Udaya Bontu, MD 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 933-4700 |
Dr. Josephine Soyoung Lee-kim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 | |
Nimit Desai, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 351 Delnor Dr Ste 351, Geneva, IL 60134 Phone: 630-232-0280 Fax: 630-232-3896 | |
Dr. Andrew Westfall, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 | |
Himabala Medasani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 | |
Jaclyn Keller, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 |