Lettricia Rajie Gunaratnam, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

336036066245 Issued in IL

Practice address

2143 W Wellington Ave Ste 100
Chicago, IL 60618-8288

Phone

(773) 528-5400

Fax

(773) 528-0607

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• V K Patel MD SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1902962210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851449060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022863",
            "telephone_number": "773-528-5400",
            "fax_number": "773-528-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 W WELLINGTON AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188288",
            "telephone_number": "773-528-5400",
            "fax_number": "773-528-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNARATNAM",
        "first_name": "LETTRICIA",
        "middle_name": "RAJIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336036066245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066245",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda E. Gumbel-Thomas
• Emily Gumm, MSW
• Nina Hasika Gummadi, MD
• Molly Ann Gummerson, MS CCC-SLP
• Lana Gummeson, ALMFT
• Maria Gunaratnam, M.D.
• Myuren Gunaratnam, M.D.
• Naiomi Gunaratne, MD
• Suvai Gunasekaran
• Liauw Devi Gunawan, NURSE PRACTITIONER

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.