| Randhirji Odedra, MD | |
| 
					3701 Doty Rd, Department Of Emergency Medical Services, Woodstock, IL 60098-7509  | |
| (815) 338-2500 | |
| Not Available | 
| Full Name | Randhirji Odedra | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 3701 Doty Rd, Woodstock, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962613885 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 336081748 (Illinois) | Primary | 
| Entity Name | Travis County Emergency Physicians Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492  | 
| Entity Name | Legacy Urgent Care Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140  | 
| Entity Name | Round Table Physicians Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Randhirji Odedra, MD 3701 Doty Rd, Department Of Emergency Medical Services, Woodstock, IL 60098-7509 Ph: (815) 338-2500  | Randhirji Odedra, MD 3701 Doty Rd, Department Of Emergency Medical Services, Woodstock, IL 60098-7509 Ph: (815) 338-2500  | 
Apiwat Ford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3707 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600  | |
Dr. Rebecca Bollinger Parker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600  | |
Dr. Brian Kostuk, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600  | |
Dr. Lela Iduna, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14311 Perkins Rd, Woodstock, IL 60098 Phone: 510-666-5062  | |
Dr. Archana K Reddy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3707 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600  | |
Mr. Iftikhar Khan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600  | |
Thomas Peeters, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-334-3141 Fax: 847-206-3464  |