Chula Lerdvoratavee (NPI# 1346230604, PAC ID# 1557451093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346230604 |
| PAC ID by PECOS | 1557451093 |
| Professional Enrollment ID | I20110215001169 |
| Full Name | Chula Lerdvoratavee |
| Organization Legal Name | SCOTT EYE CARE LTD. |
| Address |
2075 Wiesbrook Rd Oswego IL 60543-8312 |
| Phone Number | 6308440908 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8123118650 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2075 Wiesbrook Rd, Oswego, IL 60543-8312 | 6308440908 | SCOTT EYE CARE LTD. |
| Organization Legal Name | SCOTT EYE CARE LTD. |
| Physicians | 1 |
| Street Address |
2075 WIESBROOK RD |
| City | OSWEGO |
| State | IL |
| Zip | 60543-8312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderpal S Nandra | Internal Medicine | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Mukhtar S Nandra | General Practice | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Kristen A Accardo | Chiropractic | Balanced Body Chiropractic, LLC | 1231 Farmington Lakes Dr, Suite 101, Oswego, IL 60543-5131 |
| Catherine Chu | Family Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Heidi A Solache | Clinical Social Worker | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Mark E Peterson | Internal Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Stephanie R Parks | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Peter T Rasmussen | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Marie E Garcia | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Raquel T Robles | Obstetrics/gynecology | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Find all physicians in zip 60543 | |||
| City | OSWEGO |
| Zip Code | 60543 |
| Specialty | OPTOMETRY |
| City + Specialty | OSWEGO + OPTOMETRY |
Please comment or provide details below to improve the information on Chula Lerdvoratavee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.