| Srikanth N Divi, MD | |
|
259 E Erie St Fl 13, Chicago, IL 60611-3926 | |
| (312) 695-6800 | |
| (312) 926-6600 |
| Full Name | Srikanth N Divi |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 12 Years |
| Location | 259 E Erie St Fl 13, Chicago, 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 |
|---|---|---|---|
| 1518305457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 125-063132 (Illinois) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 036152316 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoenix Home Care, L.l.c. | Burr ridge, IL | Home health agency |
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Srikanth N Divi, MD 259 E Erie St Fl 13, Chicago, IL 60611-3926 Ph: (312) 695-6800 | Srikanth N Divi, MD 259 E Erie St Fl 13, Chicago, IL 60611-3926 Ph: (312) 695-6800 |
Dr. Yi-loong Colin Woon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Dr. Vehniah Kristin Tjong, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St, 13th Floor, Chicago, IL 60611 Phone: 312-695-6800 | |
Dr. Chizitam Ibezim, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1611 W Harrison St Ste 400, Chicago, IL 60612 Phone: 877-632-6637 Fax: 708-409-5179 | |
David Guelich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Halsted Street, Suite 525, Chicago, IL 60657 Phone: 773-443-3130 | |
Dr. Daniel A Ivankovich, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1044 N Francisco Ave Ste 203, Chicago, IL 60622 Phone: 312-527-6500 Fax: 800-281-6952 | |
Dr. Michael R Treister, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1431 N Western Ave, Chicago, IL 60622 Phone: 312-633-5866 Fax: 312-633-5867 | |
Dr. Adam Isaac Edelstein, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 13-205, Chicago, IL 60611 Phone: 312-695-8143 Fax: 312-695-4075 |