Ahmed Ali Tariq, DO | |
1201 Pine St, Eldorado, IL 62930-1634 | |
(618) 273-3361 | |
Not Available |
Full Name | Ahmed Ali Tariq |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1201 Pine St, Eldorado, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508843996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036110691 (Illinois) | Primary |
Entity Name | Illinois Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
Entity Name | Crossroads Emergency Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023033982 PECOS PAC ID: 3072419712 Enrollment ID: O20031211000854 |
Entity Name | Illinois Emergency Staffing Solutions, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Entity Name | Granite City Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
Mailing Address | Practice Location Address |
---|---|
Ahmed Ali Tariq, DO 75 Remit Dr, Ste 1122, Chicago, IL 60675-1122 Ph: (866) 916-5259 | Ahmed Ali Tariq, DO 1201 Pine St, Eldorado, IL 62930-1634 Ph: (618) 273-3361 |
Sidharth Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-2951 Fax: 618-273-2726 |