Angela H Mahome, MD | |
13011 S 104th Ave, Suite 200, Palos Park, IL 60464-1500 | |
(708) 448-3300 | |
(708) 448-6972 |
Full Name | Angela H Mahome |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 13011 S 104th Ave, Palos Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265576011 | NPI | - | NPPES |
01623882 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
Entity Name | Chicago Bh Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972384758 PECOS PAC ID: 4284021262 Enrollment ID: O20220805003038 |
Mailing Address | Practice Location Address |
---|---|
Angela H Mahome, MD 13011 S 104th Ave, Suite 200, Palos Park, IL 60464-1500 Ph: (708) 448-3300 | Angela H Mahome, MD 13011 S 104th Ave, Suite 200, Palos Park, IL 60464-1500 Ph: (708) 448-3300 |
Dr. Ramesh H. Doshi, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13011 S 104th Ave, Suite 200, Palos Park, IL 60464 Phone: 708-448-3300 Fax: 708-448-6972 | |
Rajitha Lakshmi Avva, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 Phone: 708-448-3300 |