Jadav M Moradia (NPI# 1215121066, PAC ID# 9234224247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215121066 |
| PAC ID by PECOS | 9234224247 |
| Professional Enrollment ID | I20071005000523 |
| Full Name | Jadav M Moradia |
| Organization Legal Name | SUBURBAN MEDICAL GROUP LLC |
| Address |
1600 Dempster St Suite 103 Park Ridge IL 60068-1171 |
| Phone Number | 8473063732 |
| Gender | M |
| Graduation Year | 1969 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779716923 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 Dempster St, Suite 103, Park Ridge, IL 60068-1171 | 8473063732 | SUBURBAN MEDICAL GROUP LLC |
| Organization Legal Name | SUBURBAN MEDICAL GROUP LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa M Weigand | Nurse Practitioner | Suburban Medical Group LLC | 3055 Ridge Pike, 200 Mercy Primary Care At Eagleville, Eagleville, PA 19403-1411 |
| Catherine E Cahill | General Surgery | Suburban Medical Group LLC | 2705 Dekalb Pike, Suite 309, East Norriton, PA 19401-1852 |
| George R Homa | Family Medicine | Suburban Medical Group LLC | 700 Dekalb St, Bridgeport, PA 19405-1149 |
| Mary Ann Leary | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Jessica R Mayer | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Christen Darlene Sedlak | Physician Assistant | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Elaine G Pendrak | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Mary E Vitucci | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Dadrie F Baptiste | General Surgery | Suburban Medical Group LLC | 2705 Dekalb Pike, Suite 309, East Norriton, PA 19401-1852 |
| Christine M Hazlett | Nurse Practitioner | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Street Address |
1600 DEMPSTER ST SUITE 103 |
| City | PARK RIDGE |
| State | IL |
| Zip | 60068-1171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessa May D Villaluz | Physical Therapy | Premier Rehab Services LLC | 1600 Dempster St, Suite 102, Park Ridge, IL 60068-1171 |
| Pritesh J Patel | Occupational Therapy | Premier Rehab Services LLC | 1600 Dempster St, Suite 102, Park Ridge, IL 60068-1171 |
| David Pamittan Calimag | Neurology | 1600 Dempster St, Ll3, Park Ridge, IL 60068-1161 | |
| Jeffrey Buckman | Internal Medicine | Suburban Medical Group LLC | 1600 Dempster St, Suite 103, Park Ridge, IL 60068-1171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Pales | Internal Medicine | 1550 N Northwest Hwy 211, Park Ridge, IL 60068 | |
| Lisa Ann Ditchek | Clinical Psychologist | Lisa A Ditchek Psy D P C | 1580n Northwest Hwy 116a, Park Ridge, IL 60068 |
| Tricia Muir | Nurse Practitioner | Advanced Medical Consultations Ltd | 1725 Ballard Rd, Park Ridge, IL 60068-1005 |
| Agatha Jefferson | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1775 W Ballard Rd, Geriatrics, Park Ridge, IL 60068-1005 |
| William D Rhoades | Geriatric Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Lawrence A Domont | Endocrinology | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| David J Kushner | Internal Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Sydney R Brandwein | Rheumatology | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Mariana K Krive | Internal Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Kaleigh A Suhs | Sports Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Find all physicians in zip 60068 | |||
| City | PARK RIDGE |
| Zip Code | 60068 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PARK RIDGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jadav M Moradia.
| 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.