| Dr Priya Shastri Md, MD | |
|
17901 Governors Hwy Ste 100, Homewood, IL 60430-1145 | |
| (708) 213-7975 | |
| (708) 213-7975 |
| Full Name | Dr Priya Shastri Md |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 17901 Governors Hwy Ste 100, Homewood, 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 |
|---|---|---|---|
| 1437101409 | NPI | - | NPPES |
| 036-115357 | Other | IL | IL LICENSE NUMBER |
| I36206 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036115357 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ingalls Memorial Hospital | Harvey, IL | Hospital |
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Network Inc | 3678737012 | 355 |
| Harvey Emergency Physicians Pllc | 9436486560 | 47 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Priya Shastri Md, MD 17901 Governors Hwy Ste 100, Homewood, IL 60430-1145 Ph: (708) 917-8773 | Dr Priya Shastri Md, MD 17901 Governors Hwy Ste 100, Homewood, IL 60430-1145 Ph: (708) 213-7975 |
William Cleveland Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 | |
Komal Mahendrakumar Patel, DO, MPH Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18408 Governors Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Yvonne Marie Jimenez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 Chayes Park Dr, Homewood, IL 60430 Phone: 708-935-2069 | |
Josephine Minnicino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18408 Governors Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Lisa K. Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 |