Individual ProviderTushar AlladiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612(312) 996-2933PECOS EnrollmentBased on the most recent information from CMS, provider Tushar Alladi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1962144048Provider TypeIndividualFull NameAlladi, TusharGenderMaleSole ProprietorNoEnumeration Date4/10/2022Last Updated7/1/2022Contact InformationPractice LocationPractice Address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612Phone(312) 996-2933FaxUnlisted FaxMailing LocationMailing Address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612Phone(312) 996-2933FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense125.080457IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer