Revathi Suppiah (NPI# 1760644116, PAC ID# 4880750637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1760644116 |
| PAC ID by PECOS | 4880750637 |
| Professional Enrollment ID | I20090304000152 |
| Full Name | Revathi Suppiah |
| Organization Legal Name | PATIENT FIRST SC |
| Address |
2520 Elisha Ave Zion IL 60099-2676 |
| Phone Number | 8478724561 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 3274446596 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140100 | MIDWESTERN REGION MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2520 Elisha Ave, Zion, IL 60099-2676 | 8478724561 | PATIENT FIRST SC |
| Organization Legal Name | PATIENT FIRST SC |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami C Carrillo | Diagnostic Radiology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Ruth Diamond | Nurse Practitioner | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Julia A Buesser | Nurse Practitioner | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Kaoutar Tlemcani | Medical Oncology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Yiping Fu | Pulmonary Disease | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Kenneth S Yoo | Interventional Radiology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Laura C Farrington | Medical Oncology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Eugene Ahn | Medical Oncology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Ethel Herskovic | Diagnostic Radiology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Daniel Zhidi Liu | Plastic and Reconstructive Surgery | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Street Address |
2520 ELISHA AVE |
| City | ZION |
| State | IL |
| Zip | 60099-2676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami C Carrillo | Diagnostic Radiology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Ruth Diamond | Nurse Practitioner | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Julia A Buesser | Nurse Practitioner | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Kaoutar Tlemcani | Medical Oncology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Yiping Fu | Pulmonary Disease | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Kenneth S Yoo | Interventional Radiology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Laura C Farrington | Medical Oncology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Eugene Ahn | Medical Oncology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Ethel Herskovic | Diagnostic Radiology | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Daniel Zhidi Liu | Plastic and Reconstructive Surgery | Patient First Sc | 2520 Elisha Ave, Zion, IL 60099-2676 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal N Bhalala | Internal Medicine | 2024 Lewis Ave, Zion, IL 60099-1546 | |
| Brent C Paxton | Chiropractic | 1801 Kedron Blvd, Zion, IL 60099-1755 | |
| Mark Edward Mitten | Chiropractic | 2456 Sheridan Rd, Zion, IL 60099-2333 | |
| Brianne C Brown | Nurse Practitioner | County of Lake | 1819 27th St, Zion, IL 60099-2541 |
| Christina Nyree Harmon | Clinical Social Worker | County of Lake | 1911 27th St, Zion, IL 60099-2542 |
| Peter G Vlasis | Optometry | Lake County Vision Care PC | 2625 Elisha Ave, Zion, IL 60099-2607 |
| Adam J Ottaviano | Optometry | Lake County Vision Care PC | 2625 Elisha Ave, Zion, IL 60099-2607 |
| Stanislav C Maravilla | Physical Therapy | Athletico Ltd | 2723 Sheridan Rd, Suite D, Zion, IL 60099-2616 |
| Melissa A Tait | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 2701 Sheridan Rd, Zion, IL 60099-2616 |
| Kevin M Makey | Physical Therapy | Athletico Ltd | 2723 Sheridan Rd, Suite D, Zion, IL 60099-2616 |
| Find all physicians in zip 60099 | |||
| City | ZION |
| Zip Code | 60099 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | ZION + MEDICAL ONCOLOGY |
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| 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.