Burhan Memon, MD | |
2900 N Lake Shore Dr, Chicago, IL 60657-5640 | |
(773) 665-3022 | |
Not Available |
Full Name | Burhan Memon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 2900 N Lake Shore Dr, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205488293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036158352 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
St Marys Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Hshs Medical Group Inc | 5092857821 | 225 |
Entity Name | Hshs Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Burhan Memon, MD 2970 N Sheridan Rd Apt 1518, Chicago, IL 60657-5834 Ph: (224) 900-0235 | Burhan Memon, MD 2900 N Lake Shore Dr, Chicago, IL 60657-5640 Ph: (773) 665-3022 |
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