| Shawn Sidharthan, MD | |
|
1775 Dempster St, Park Ridge, IL 60068-1143 | |
| (956) 739-2742 | |
| Not Available |
| Full Name | Shawn Sidharthan |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 13 Years |
| Location | 1775 Dempster St, Park Ridge, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356617997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 281570-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Physicians Ny Pllc | 3870779143 | 4 |
| Entity Name | Pain Physicians Ny Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538465497 PECOS PAC ID: 3870779143 Enrollment ID: O20110523000021 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Sidharthan, MD 1450 Washington St, Hoboken, NJ 07030-9403 Ph: (956) 739-2742 | Shawn Sidharthan, MD 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (956) 739-2742 |
Dr. Susan Lee Engel, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1026 N Knight Ave, Park Ridge, IL 60068 Phone: 847-692-2207 Fax: 847-692-2209 | |
Ivan Jose Cuesta Isabel, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St Ste Aip, Park Ridge, IL 60068 Phone: 847-723-6790 Fax: 847-723-6799 | |
Mrs. Nirmala Jain, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1600 W Touhy Ave, Park Ridge, IL 60068 Phone: 847-696-9396 |