Gautam K Bhanushali (NPI# 1073829990, PAC ID# 1951548601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1073829990 |
| PAC ID by PECOS | 1951548601 |
| Professional Enrollment ID | I20130717000799 |
| Full Name | Gautam K Bhanushali |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| Address |
2701 W 68th St Holy Cross Hospital Chicago IL 60629-1882 |
| Phone Number | 7734718000 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 2163328675 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140133 | HOLY CROSS HOSPITAL |
| 140048 | ADVOCATE TRINITY HOSPITAL |
| 140181 | SOUTH SHORE HOSPITAL |
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2701 W 68th St, Holy Cross Hospital, Chicago, IL 60629-1882 | 7734718000 | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashwin R Shetty | Nephrology | Nephrology Associates of Northern Illinois Ltd | 9200 S S Chicago Ave, South Chicago Dialysis Unit, Chicago, IL 60617-4512 |
| Genti Manco | Nurse Practitioner | Nephrology Associates of Northern Illinois Ltd | Erie At Austin, West Sub Hosp and Med Ctr, Oak Park, IL 60302-2599 |
| Andrew Kowalski | Nephrology | Nephrology Associates of Northern Illinois Ltd | 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 |
| John T Ducker | Nephrology | Nephrology Associates of Northern Illinois Ltd | 90 W 86th Ave, Nani, Merrillville, IN 46410-7086 |
| George J Naratadam | Nephrology | Nephrology Associates of Northern Illinois Ltd | 719 W N Ave, North Ave Dialysis, Melrose Park, IL 60160-1612 |
| Aamir Adam Memon | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 2203 Randall Rd, Carpentersville, IL 60110-3355 |
| Arthur M Morris | Nephrology | Nephrology Associates of Northern Illinois Ltd | 1 Erie Ct, 4120 Oak Park Nephology Assoc, Oak Park, IL 60302-2511 |
| Jeffrey J Kropp | Nephrology | Nephrology Associates of Northern Illinois Ltd | 0 N25 Winfield Rd, Central Dupage Pd Dialysis, Winfield, IL 60190-1237 |
| Peter D Hart | General Practice | Nephrology Associates of Northern Illinois Ltd | 3223 W 63rd St, Lawn Terr Nephrology Assc, Chicago, IL 60629-3333 |
| Madhavi E Ryali | Nephrology | Nephrology Associates of Northern Illinois Ltd | 518 N Austin Blvd, West Suburban Dialysis, Oak Park, IL 60302-2508 |
| Street Address |
2701 W 68TH ST HOLY CROSS HOSPITAL |
| City | CHICAGO |
| State | IL |
| Zip | 60629-1882 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy B West | Obstetrics/gynecology | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Eli Bader | Psychiatry | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Laura Michelle Garcia | Nurse Practitioner | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Michelle Kethcart | Nurse Practitioner | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Rachel H Mcdowell | Emergency Medicine | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Lillian R De Leon | Internal Medicine | 2701 W 68th St, Fl 3, Chicago, IL 60629-1813 | |
| Andrew J Gause | Certified Registered Nurse Anesthetist (crna) | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Alfred L Allen | Internal Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Mustapha Olugbile | Nurse Practitioner | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Naomi A Sidell | Anesthesiology | Mount Sinai Community Foundation | 2701 W 68th St, 4 South, Chicago, IL 60629-1813 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alemayehu Bekele | General Surgery | 2701 68th St, Chicago, IL 60629-1813 | |
| Shri Krishna Agrawal | Rheumatology | 2701 W 68th St 2 S Pavilion, Chicago, IL 60629-1813 | |
| Surender Kumar | Cardiovascular Disease (cardiology) | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Ignas G Labanauskas | Orthopedic Surgery | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Jagan K Mohan | Neurology | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Graeme Richard Adams Twanow | Emergency Medicine | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Stephen H Doundoulakis | Diagnostic Radiology | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Raymond Lee Hunsucker Iii | Emergency Medicine | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Kiran R Gandhi | Physical Medicine and Rehabilitation | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Evelyn Np Norton | Nurse Practitioner | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Find all physicians in zip 60629 | |||
| City | CHICAGO |
| Zip Code | 60629 |
| Specialty | NEPHROLOGY |
| City + Specialty | CHICAGO + NEPHROLOGY |
Please comment or provide details below to improve the information on Gautam K Bhanushali.
| 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.