Provider Demographics
NPI:1598391625
Name:TELEPAGE MD PC
Entity Type:Organization
Organization Name:TELEPAGE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-915-1874
Mailing Address - Street 1:3445 N CENTRAL AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4420
Mailing Address - Country:US
Mailing Address - Phone:773-205-0800
Mailing Address - Fax:
Practice Address - Street 1:3445 N CENTRAL AVE UNIT C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4420
Practice Address - Country:US
Practice Address - Phone:773-205-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty