Mukund Komanduri (NPI# 1619904604, PAC ID# 3476568684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1619904604 |
| PAC ID by PECOS | 3476568684 |
| Professional Enrollment ID | I20060210000120 |
| Full Name | Mukund Komanduri |
| Organization Legal Name | ELGIN SURGICARE LLC |
| Address |
1550 Todd Farm Dr Elgin IL 60123-1287 |
| Phone Number | 8478887423 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1989 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2668633413 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150166 | PINNACLE HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| 150002 | METHODIST HOSPITALS INC |
| Address | Phone | Organization |
|---|---|---|
| 5345 Commerce Blvd, Crown Point, IN 46307-5325 | ||
| 1550 Todd Farm Dr, Elgin, IL 60123-1287 | 8478887423 | ELGIN SURGICARE LLC |
| 1950 45th St, Suite 205, Munster, IN 46321-3958 |
| Organization Legal Name | ELGIN SURGICARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raoaa Benkhadra | General Practice | Elgin Surgicare LLC | 8840 Calumet Ave, Suite 203, Munster, IN 46321-2546 |
| Pocholo S Florentino | Family Medicine | Elgin Surgicare LLC | 1550 Todd Farm Dr, Elgin, IL 60123-1287 |
| Street Address |
1550 TODD FARM DR |
| City | ELGIN |
| State | IL |
| Zip | 60123-1287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pocholo S Florentino | Family Medicine | Elgin Surgicare LLC | 1550 Todd Farm Dr, Elgin, IL 60123-1287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig M Torosian | Hand Surgery | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Jeffrey A Jacoby | Orthopedic Surgery | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Kevan E Ketterling | Sports Medicine | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Yasser Alhaj -hussein | Anesthesiology | 1554 Todd Farm Dr, Elgin, IL 60123-1287 | |
| Mario J Astacio | Physician Assistant | 1140 N Mclean Blvd, Unit C, Elgin, IL 60123-1782 | |
| Seung Hyun Jung | Chiropractic | 1530 Weatherstone Ln, Elgin, IL 60123-2019 | |
| Joseph Fred Ferstl | Chiropractic | 1557 Weatherstone Lane, Elgin, IL 60123-2019 | |
| Annie W Kot | Clinical Social Worker | Ecker Center for Mental Health | 1475 Royal Blvd, Elgin, IL 60123-2040 |
| Jaclyn Catanese | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1425 N Randall Rd, Elgin, IL 60123-2300 |
| Abbas Y Rampurwala | Interventional Cardiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | |
| Find all physicians in zip 60123 | |||
| City | ELGIN |
| Zip Code | 60123 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ELGIN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mukund Komanduri.
| 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.