Madhu Shree Gundavaram (NPI# 1699796920, PAC ID# 7315972940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1699796920 |
| PAC ID by PECOS | 7315972940 |
| Professional Enrollment ID | I20051003000021 |
| Full Name | Madhu Shree Gundavaram |
| Organization Legal Name | NORTHWEST PULMONARY AND SLEEP MEDICINE SC |
| Address |
360 Station Dr Suite 230 Crystal Lake IL 60014-8000 |
| Phone Number | 8154777350 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0749362754 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140291 | ADVOCATE GOOD SHEPHERD HOSPITAL |
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| 140290 | ST ALEXIUS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 360 Station Dr, Suite 230, Crystal Lake, IL 60014-8000 | 8154777350 | NORTHWEST PULMONARY AND SLEEP MEDICINE SC |
| Organization Legal Name | NORTHWEST PULMONARY AND SLEEP MEDICINE SC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleanor M Russell | Nurse Practitioner | Northwest Pulmonary and Sleep Medicine Sc | 450 W Hwy 22, South Barrington, IL 60010-1919 |
| Amanda M Law | Nurse Practitioner | Northwest Pulmonary and Sleep Medicine Sc | 1340 Ryan Pkwy, Algonquin, IL 60102-4527 |
| Dennis Franklin Kellar | Pulmonary Disease | Northwest Pulmonary and Sleep Medicine Sc | 1340 Ryan Pkwy, Algonquin, IL 60102-4527 |
| Street Address |
360 STATION DR SUITE 230 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60014-8000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca J Baker | Nurse Practitioner | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Jason A Carman | Nurse Practitioner | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Sonia C Mehta | Internal Medicine | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Juliana G Gonzales-hannon | Nurse Practitioner | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Manoj R Patel | Family Medicine | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Jacqueline D Keck | Nurse Practitioner | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Caleb Daniel | Family Medicine | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Anthony Lemuel Duran | Nurse Practitioner | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Nicole M Padilla | Family Medicine | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Khalda H Abbasi | Internal Medicine | Northwestern Medical Faculty Foundation | 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Socha | Chiropractic | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 | |
| Mark D Lagerkvist | Chiropractic | Chiro One Wellness Center of Crystal Lake Sc | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 |
| Michael T Burns | Psychologist, Clinical | 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400 | |
| Kenneth E Heinrichs | Psychologist, Clinical | 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717 | |
| Katherine A Galias | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Susan G Swanson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Christy A Benton | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Roseann C Iverson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Cynthia G Macdonald | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Michael S Lesser | Family Medicine | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Find all physicians in zip 60014 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CRYSTAL LAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Madhu Shree Gundavaram.
| 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.