Provider Demographics
NPI:1811003528
Name:RAMESH C SEERAS MD SC
Entity Type:Organization
Organization Name:RAMESH C SEERAS MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-788-2040
Mailing Address - Street 1:80 BURR RIDGE PKWY
Mailing Address - Street 2:PMB 144
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0832
Mailing Address - Country:US
Mailing Address - Phone:708-788-2038
Mailing Address - Fax:
Practice Address - Street 1:3114 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3031
Practice Address - Country:US
Practice Address - Phone:708-788-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042618637261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036091870Medicaid
IL01627018OtherBLUE CROSS
IL01627018OtherBLUE CROSS
ILG15767Medicare UPIN