DR. VASANTHA J SASTRY (NPI# 1760481287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760481287 |
| Entity Type | Individual |
| Full Name | DR. VASANTHA J SASTRY |
| Credential | M.D. |
| Practice Address |
19550 Governors Hwy Suite 2300 Flossmoor IL 60422-2125 |
| Mailing Address |
Po Box 1119 Matteson IL 60443-4119 |
| Practice Telephone | 7087980200 |
| Mailing Telephone | 7087475850 |
| Mailing Fax Number | 7087479991 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2009-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 036048841 | IL | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036-048841 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
19550 GOVERNORS HWY SUITE 2300 |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164967261 | Akilah J Townsend | Physical Therapist | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2016-12-27 |
| 1013316835 | Kimberly Kramer | Dietitian, Registered | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2014-08-18 |
| 1467704825 | Lata Pillai | Physical Therapist | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2012-10-10 |
| 1659620870 | Sandra K. Collins | Physical Therapist | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2012-09-04 |
| 1689923070 | Danielle Ruzich | Physical Therapist | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2012-08-31 |
| 1366791899 | Lynne Diane Pavlatos | Physical Therapist | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2012-08-30 |
| 1144578469 | Ronald Rivera | Physical Therapist | 19550 Governors Hwy, Flossmoor, IL 60422-2125 | 2012-08-16 |
| 1831447150 | Kory D Risner | Physical Therapist | 19550 Governors Hwy, C/o Therapy Department, Flossmoor, IL 60422-2125 | 2012-08-16 |
| 1952677718 | Evaldas Radzevicius P.C. | Psychiatry & Neurology | 19550 Governors Hwy, Suite 3700, Flossmoor, IL 60422-2125 | 2012-03-27 |
| 1871889329 | Amit D Patel | Family Medicine | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2125 | 2011-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
| 1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
| 1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
| 1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.