Gaurang D Gujarathi (NPI# 1124314349, PAC ID# 6507008547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124314349 |
| PAC ID by PECOS | 6507008547 |
| Professional Enrollment ID | I20130805000280 |
| Full Name | Gaurang D Gujarathi |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Address |
1710 W Court St Kankakee IL 60901-3160 |
| Phone Number | 8159286110 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 2860396769 |
| Number of Group Practice Members | 319 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140155 | PRESENCE ST MARYS HOSPITAL |
| 140186 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1710 W Court St, Kankakee, IL 60901-3160 | 8159286110 | PRESENCE HEALTHCARE SERVICES |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Physicians | 345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alaina Lastres | Nurse Practitioner | Presence Healthcare Services | 455 W Court St, Kankakee, IL 60901-3695 |
| Taha Alrifai | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Miriam Nuer | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| Sarah Freeburg | Physician Assistant | Presence Healthcare Services | 27025 W Eames St, Channahon, IL 60410-5619 |
| Jemia D Martin | Nurse Practitioner | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Julia Gold | Family Medicine | Presence Healthcare Services | 4833 N Milwaukee Ave, Chicago, IL 60630-2145 |
| Saima Najam | Family Medicine | Presence Healthcare Services | 2201 Randall Rd, Carpentersville, IL 60110-3355 |
| Gopika Chandra | Internal Medicine | Presence Healthcare Services | 1150 W Fullerton Ave, Chicago, IL 60614-8160 |
| Muhammad Omer M Ansari | Family Medicine | Presence Healthcare Services | 410e Lincoln Hwy 101, New Lenox, IL 60451-1976 |
| Lester Ferra | Family Medicine | Presence Healthcare Services | 2233 W Division St, Suite 205, Chicago, IL 60622-8151 |
| Street Address |
1710 W COURT ST |
| City | KANKAKEE |
| State | IL |
| Zip | 60901-3160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shonna C Beckman | Physician Assistant | Presence Healthcare Services | 1710 W Court St, Kankakee, IL 60901-3160 |
| Mario G Massullo | Cardiac Surgery | Presence Healthcare Services | 1710 W Court St, Kankakee, IL 60901-3160 |
| Rebecca Leonhardt | Nurse Practitioner | Presence Healthcare Services | 1710 W Court St, Kankakee, IL 60901-3160 |
| Suresh H Wadhwani | Cardiovascular Disease (cardiology) | Presence Healthcare Services | 1710 W Court St, Kankakee, IL 60901-3160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Van H Do | Physical Medicine and Rehabilitation | Medical Services Ric | 836 W Wellington Ave, Chicago, IL 60901 |
| Jana M Wahlen | Qualified Audiologist | Riverside Health System | 43 Meadowview Ctr D, Kankakee, IL 60901-2041 |
| Robert A Raley | Podiatry | 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901-2061 | |
| Harris Waheed | Family Medicine | 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901-2063 | |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Kaitlain Cavender | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Olatunji R Akintilo | Family Medicine | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Keyoma Jamerson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Samuel G Deguzman | Internal Medicine | 450 N Kennedy Dr, Kankakee, IL 60901-2900 | |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Find all physicians in zip 60901 | |||
| City | KANKAKEE |
| Zip Code | 60901 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KANKAKEE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gaurang D Gujarathi.
| 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.