Ravi K Sundaram (NPI# 1811040595, PAC ID# 1254367568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1811040595 |
| PAC ID by PECOS | 1254367568 |
| Professional Enrollment ID | I20050708000546 |
| Full Name | Ravi K Sundaram |
| Organization Legal Name | PRAIRIE STATE PULMONARY AND SLEEP CONSULTANTS, LLC |
| Address |
20303 Crawford Ave Suite 110 Olympia Fields IL 60461-1173 |
| Phone Number | 7089836060 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 2668527888 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140172 | FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS |
| Address | Phone | Organization |
|---|---|---|
| 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1173 | 7089836060 | PRAIRIE STATE PULMONARY AND SLEEP CONSULTANTS, LLC |
| Organization Legal Name | PRAIRIE STATE PULMONARY AND SLEEP CONSULTANTS, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine A Fadke | Nurse Practitioner | Prairie State Pulmonary and Sleep Consultants, LLC | 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1173 |
| Robert M Aronson | Pulmonary Disease | Prairie State Pulmonary and Sleep Consultants, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Bradley S Coolidge | Pulmonary Disease | Prairie State Pulmonary and Sleep Consultants, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Street Address |
20303 CRAWFORD AVE SUITE 110 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip | 60461-1173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine A Fadke | Nurse Practitioner | Prairie State Pulmonary and Sleep Consultants, LLC | 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1173 |
| Richa Singh | Ophthalmology | Multack Eye Care, S.c | 20303 Crawford Ave, Suite Ll1, Olympia Fields, IL 60461-1173 |
| Rita N Oganwu | Internal Medicine | 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1173 | |
| Gary K Yong | Optometry | Multack Eye Care, S.c | 20303 Crawford Ave, Suite Ll1, Olympia Fields, IL 60461-1173 |
| Robin D Snead | Internal Medicine | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shinu P Varghese | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Robert R Richardson | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Gordon A Schulz | Psychologist, Clinical | Franciscan Physician Network | 20121 Crawford Ave, Olympia Fields, IL 60461-1009 |
| Kyle J Kleist | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Jared Mahylis | Orthopedic Surgery | Specialty Physicians of Illinois LLC | 20201 S Crawford Ave, Suite 1400, Olympia Fields, IL 60461-1010 |
| Veera A Rao | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Anil Kumar Lamba | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Charles E Geringer | Rheumatology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| James Siegert | Internal Medicine | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Ritchie L Ambroise | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Find all physicians in zip 60461 | |||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | OLYMPIA FIELDS + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Ravi K Sundaram.
| 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.