| Sushane Gupta, | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (708) 213-4200 | |
| (708) 213-0144 |
| Full Name | Sushane Gupta |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, 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 |
|---|---|---|---|
| 1467015941 | NPI | - | NPPES |
| 036-159430 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036159430 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Emergency Physicians Llc | 1850657180 | 49 |
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Riverside Emergency Physicians Llc | 6204294119 | 27 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Aurora Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407379423 PECOS PAC ID: 1850657180 Enrollment ID: O20171102000998 |
| Entity Name | Riverside Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548969181 PECOS PAC ID: 6204294119 Enrollment ID: O20230626002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Sushane Gupta, 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Sushane Gupta, 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-4200 |
Dr. Ronald Lawton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429 Phone: 773-363-1090 | |
Lindy Triebes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Dr. Kevin Tom, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 773-967-4205 | |
Veronica W Robinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Gameli Dekayie Bush, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Dr. Nadija Mara Rieser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Zakia Haseena Ali, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 |