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RAMESH C SEERAS MD SC NPI 1811003528


NPI Information

NPI: 1811003528
Provider Name: RAMESH C SEERAS MD SC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3114 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (708) 788-2040
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RAMESH C SEERAS MD SC is a health service clinic center in Berwyn, IL. RAMESH C SEERAS MD SC NPI is 1811003528. The provider is registered as an organization entity type.

The provider's business location address is:

3114 OAK PARK AVE
BERWYN, IL
ZIP 60402-031
Phone: (708) 788-2040

The provider's authorized official is Ramesh Seeras .
The authorized official title is President and has the following contact phone number (708) 788-2040.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 1/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service042618637ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101627018OTHERILLINOISBLUE CROSS
2G15767MEDICARE UPINILLINOIS
3036091870MEDICAIDILLINOIS
4481030MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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