| Vinitha Raghavan, MD | |
|
3358 W 95th St, Evergreen Park, IL 60805-2236 | |
| (708) 952-3040 | |
| (708) 952-3043 |
| Full Name | Vinitha Raghavan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Nephrology |
| Location | 3358 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023097292 | NPI | - | NPPES |
| 036082385 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 036082385 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 036-082385 (Illinois) | Primary |
| Entity Name | Associates In Nephrology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694259 PECOS PAC ID: 9133023963 Enrollment ID: O20031124000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Vinitha Raghavan, MD 210 S Desplaines St, Chicago, IL 60661-5500 Ph: (312) 654-2700 | Vinitha Raghavan, MD 3358 W 95th St, Evergreen Park, IL 60805-2236 Ph: (708) 952-3040 |
Dr. Thomas Bump, M.D. Nephrology 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 Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 301, Evergreen Park, IL 60805 Phone: 708-389-2200 Fax: 708-389-6686 | |
Wassim Ballany, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Dr. George Sousanieh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 | |
Dr. John H Burke, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 | |
Dr. Richard D. Kern, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Pulmonary Medicine Consultants, Ltd., Evergreen Park, IL 60805 Phone: 708-424-9288 |