| Roderick Sarsaba, NP | |
|
490 W Myrick Ave, Addison, IL 60101-3452 | |
| (773) 474-0791 | |
| Not Available |
| Full Name | Roderick Sarsaba |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 490 W Myrick Ave, Addison, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487382313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209.025685 (Illinois) | Primary |
| Entity Name | Nova Medico Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689208 PECOS PAC ID: 9133219827 Enrollment ID: O20071219000058 |
| Entity Name | United Wound Care Institute-illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669257440 PECOS PAC ID: 7416304365 Enrollment ID: O20231114002598 |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick Sarsaba, NP 490 W Myrick Ave, Addison, IL 60101-3452 Ph: (773) 474-0791 | Roderick Sarsaba, NP 490 W Myrick Ave, Addison, IL 60101-3452 Ph: (773) 474-0791 |
Ricardo Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Ekta Ohri, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Lake St, Suite 100, Addison, IL 60101 Phone: 630-516-0434 Fax: 630-516-0419 | |
Anastasia Munoz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Brian Steven Koecher, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Lake St, Suite 100, Addison, IL 60101 Phone: 630-516-0434 Fax: 630-516-0419 | |
Dr. Alejandro Gonzalez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1034 N Rohlwing Rd Ste 33, Addison, IL 60101 Phone: 708-745-5743 Fax: 630-208-0522 | |
Tyler James Miksanek, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 303 W Lake St Ste 200, Addison, IL 60101 Phone: 331-221-9001 Fax: 331-221-3971 | |
Manpreet Aujla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N Rohlwing Rd Ste 335, Addison, IL 60101 Phone: 630-432-6800 Fax: 630-208-0522 |