| Sophia E W Pelling, | |
|
20201 Crawford Ave, Olympia Fields, IL 60461-1010 | |
| (630) 913-6621 | |
| Not Available |
| Full Name | Sophia E W Pelling |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 20201 Crawford Ave, Olympia Fields, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669746178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036.139063 (Illinois) | Primary |
| Entity Name | Sandy Creek Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427817881 PECOS PAC ID: 3577905520 Enrollment ID: O20240522003762 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia E W Pelling, 20201 Crawford Ave, Olympia Fields, IL 60461-1010 Ph: (630) 913-6621 | Sophia E W Pelling, 20201 Crawford Ave, Olympia Fields, IL 60461-1010 Ph: (630) 913-6621 |
Afshan Jehan Ahmed, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Neil B Shah, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Nicholas Kulas, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Ravi Sankar Dodda, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Anthony Nguyen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Justin Anthony Rapoff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Christopher Markus Colbert, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-744-4000 |