| Sreekanth Uppuluri, | |
|
2800 W 95th St, Evergreen Park, IL 60805-2701 | |
| (708) 229-4960 | |
| Not Available |
| Full Name | Sreekanth Uppuluri |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 2800 W 95th St, Evergreen Park, 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 |
|---|---|---|---|
| 1881951630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01098529A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036138712 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Mary's Hospital-kankakee | Kankakee, IL | Hospital |
| Osf Saint Elizabeth Medical Center | Peru, IL | Hospital |
| Mercy Medical Center | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 278 |
| 24 On Physicians Pc | 5698688141 | 274 |
| Entity Name | 24 on Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
| Entity Name | Des Plaines Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164284055 PECOS PAC ID: 6800235490 Enrollment ID: O20240416000701 |
| Entity Name | Prime Healthcare Illinois Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023837689 PECOS PAC ID: 5597275685 Enrollment ID: O20250609000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Sreekanth Uppuluri, 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: Not Available | Sreekanth Uppuluri, 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (708) 229-4960 |
Dr. Thomas Bump, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 |
Dolores Dixon-grevious, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 301, Evergreen Park, IL 60805 Phone: 708-389-2200 Fax: 708-389-6686 |
Vinitha Raghavan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3358 W 95th St, Evergreen Park, IL 60805 Phone: 708-952-3040 Fax: 708-952-3043 |
Wassim Ballany, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 |
Bahij Kreidieh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 |
Dr. George Sousanieh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 |
Dr. John H Burke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 |