Avinash Mantha (NPI# 1275952731, PAC ID# 8527284892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275952731 |
| PAC ID by PECOS | 8527284892 |
| Professional Enrollment ID | I20180918000461 |
| Full Name | Avinash Mantha |
| Organization Legal Name | OAK STREET HEALTH PHYSICIANS GROUP PC |
| Address |
3046 Burr Oak Ave Blue Island IL 60406-1827 |
| Phone Number | 7083777920 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517109879 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3046 Burr Oak Ave, Blue Island, IL 60406-1827 | 7083777920 | OAK STREET HEALTH PHYSICIANS GROUP PC |
| Organization Legal Name | OAK STREET HEALTH PHYSICIANS GROUP PC |
| Physicians | 126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Clemons Adams | Nurse Practitioner | Oak Street Health Physicians Group PC | 4318 S State St, Chicago, IL 60609-3701 |
| Angela Merari Martinez | Nurse Practitioner | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Darnell Rather | Nurse Practitioner | Oak Street Health Physicians Group PC | 4900 Broadway, Gary, IN 46408-4605 |
| Shivani Patel | Nurse Practitioner | Oak Street Health Physicians Group PC | 850 W 63rd St, Chicago, IL 60621-1902 |
| Ali Muhammed Khan | Hospitalist | Oak Street Health Physicians Group PC | 456 25th Ave, Bellwood, IL 60104-1961 |
| Dinora Flores | Nurse Practitioner | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Sheriva Hunter | Nurse Practitioner | Oak Street Health Physicians Group PC | 5818 Columbia Ave, Hammond, IN 46320-2607 |
| Yung Sim | Family Medicine | Oak Street Health Physicians Group PC | 3348 W 87th St, Chicago, IL 60652-3767 |
| Danbee Mishell Kim | Nurse Practitioner | Oak Street Health Physicians Group PC | 822 Summit St, Elgin, IL 60120-4316 |
| Vanessa E Ortiz | Nurse Practitioner | Oak Street Health Physicians Group PC | 4327 S Archer Ave, Chicago, IL 60632-2844 |
| Street Address |
3046 BURR OAK AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-1827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Merari Martinez | Nurse Practitioner | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Deborah L Walsh | Nurse Practitioner | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Angelina D Ledonne | Nurse Practitioner | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Mira Desai | Nurse Practitioner | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Eric Tuason Aguinaldo | Internal Medicine | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Neha Sakhuja | Clinical Social Worker | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLUE ISLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Avinash Mantha.
| 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.