Manohar L Jethani (NPI# 1366529505, PAC ID# 6406923648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366529505 |
| PAC ID by PECOS | 6406923648 |
| Professional Enrollment ID | I20080930000317 |
| Full Name | Manohar L Jethani |
| Organization Legal Name | L MEDICINE PHYSICIAN GROUP LLC |
| Address |
3635 S Harlem Ave Berwyn IL 60402-3212 |
| Phone Number | 7084479402 |
| Gender | M |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6305109547 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140054 | MACNEAL HOSPITAL |
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3635 S Harlem Ave, Berwyn, IL 60402-3212 | 7084479402 | L MEDICINE PHYSICIAN GROUP LLC |
| 3635 S Harlem Ave, Berwyn, IL 60402-3212 | HEALTHSTOP SC | |
| 2425 E 22nd St, Suite 209, Oak Brook, IL 60523 | 6304329307 | HEALTHSTOP SC |
| Organization Legal Name | L MEDICINE PHYSICIAN GROUP LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Linn Totonchi | Obstetrics/gynecology | L Medicine Physician Group LLC | 6187 S Archer Ave, Suite 102, Chicago, IL 60638-2605 |
| Christina Arellano | Family Medicine | L Medicine Physician Group LLC | 5700 W Cermak Rd, Cicero, IL 60804-2128 |
| Michael S Dewolfe | Plastic and Reconstructive Surgery | L Medicine Physician Group LLC | 3357 N Southport Ave, Chicago, IL 60657-1440 |
| Elsa Valero | Family Medicine | L Medicine Physician Group LLC | 6425 Cermak Rd, Suite 101, Berwyn, IL 60402-4602 |
| Janis Wiener | Internal Medicine | L Medicine Physician Group LLC | 7411 Lake St, Bldg A, River Forest, IL 60305-1876 |
| Tariq B Iftikhar | Orthopedic Surgery | L Medicine Physician Group LLC | 7020 W 79th St, Bridgeview, IL 60455-4030 |
| Steve Michel | Internal Medicine | L Medicine Physician Group LLC | 47 6th Ave, Suite 1, La Grange, IL 60525-2499 |
| Allyson M Lucero | Nurse Practitioner | L Medicine Physician Group LLC | 3231 Euclid Ave, Suite 403, Berwyn, IL 60402-3472 |
| Rajni Srivastava | Obstetrics/gynecology | L Medicine Physician Group LLC | 47 6th Ave, Suite M, La Grange, IL 60525-5637 |
| Shilpa V Desai | Internal Medicine | L Medicine Physician Group LLC | 47 6th Ave, Suite N, La Grange, IL 60525-5637 |
| Street Address |
3635 S HARLEM AVE |
| City | BERWYN |
| State | IL |
| Zip | 60402-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa N Toulios | Nurse Practitioner | L Medicine Physician Group LLC | 3635 S Harlem Ave, Berwyn, IL 60402-3212 |
| Jennifer L Dunlop | Nurse Practitioner | L Medicine Physician Group LLC | 3635 S Harlem Ave, Berwyn, IL 60402-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine Herold | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Christine Elaine Schultheiss | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Erika Montoya | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine M Wehrmann | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Rebecca C Dehoek | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Moshini Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Brian Kroener | Family Practice | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Ellen B Barton | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Charles T Yingling | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Find all physicians in zip 60402 | |||
| City | BERWYN |
| Zip Code | 60402 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BERWYN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Manohar L Jethani.
| 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.