Active NPI
Ramesh C Seeras MD SC
- Health Service Clinic/Center
- Berwyn, IL
National Provider Identifier
1811003528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 042618637
- Legal business name
- RAMESH C SEERAS MD SC
- Practice address
- 3114 Oak Park Ave
Berwyn, IL 60402-3031 - Phone
- (708) 788-2040
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramesh Seeras, M.D.
- Title
- President
- Phone
- (708) 788-2040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 042618637 | IL | Primary |
Addresses
Primary practice location
3114 Oak Park Ave
Berwyn, IL 60402-3031
Mailing address
80 Burr Ridge Pkwy
PMB 144
Burr Ridge, IL 60527-0832
Phone (708) 788-2038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036091870 | Medicaid | IL | |
| 01627018 | Other | IL | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
80 Burr Ridge Pkwy
Burr Ridge, IL 60527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1811003528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BURR RIDGE PKWY",
"address_2": "PMB 144",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270832",
"telephone_number": "708-788-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023031",
"telephone_number": "708-788-2040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAMESH C SEERAS MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "SEERAS",
"authorized_official_first_name": "RAMESH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-788-2040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IL",
"license": "042618637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036091870",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01627018",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.