| Raquel Gonzalez Heredia, MD | |
|
10020 Donald S Powers Dr, Munster, IN 46321-4054 | |
| (219) 703-2434 | |
| (219) 703-6634 |
| Full Name | Raquel Gonzalez Heredia |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 10020 Donald S Powers Dr, Munster, Indiana |
| 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 |
|---|---|---|---|
| 1952824302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 036165199 (Illinois) | Secondary |
| 208600000X | Surgery | 036165199 (Illinois) | Secondary |
| 208600000X | Surgery | 208600000X (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Specialty Physicians Of Illinois Llc | 4183529456 | 111 |
| Mount Sinai Community Foundation | 5991600405 | 232 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Specialty Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Raquel Gonzalez Heredia, MD 2681 N Burling St, Chicago, IL 60614-1513 Ph: (224) 256-0598 | Raquel Gonzalez Heredia, MD 10020 Donald S Powers Dr, Munster, IN 46321-4054 Ph: (219) 703-2434 |
Raquel Elisa Redondo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9800 Fax: 219-924-8831 | |
Dr. Devendra Desai, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842 | |
Kayla Marie Kralovec, NP Surgery Medicare: Accepting Medicare Assignments Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9852 Fax: 219-836-7593 | |
Dr. Teoman R Demir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 | |
Dr. Creighton M Rawlings, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842 | |
Dr. Russell W Pellar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 | |
Dr. Anne Therese Dempsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr., Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 |