Dr Ahmer V Farooq, DO | |
2160 S 1st Ave, Department Of Urology, Fahey Center Rm 260, Maywood, IL 60153-3328 | |
(708) 216-5100 | |
(708) 216-8991 |
Full Name | Dr Ahmer V Farooq |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 20 Years |
Location | 2160 S 1st Ave, Maywood, 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 |
---|---|---|---|
1326201666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036122015 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola University Medical Center | Maywood, IL | Hospital |
Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Entity Name | Loyola Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
---|---|
Dr Ahmer V Farooq, DO 2160 S 1st Ave, Department Of Urology, Fahey Center Rm 239a, Maywood, IL 60153-3328 Ph: (708) 216-5100 | Dr Ahmer V Farooq, DO 2160 S 1st Ave, Department Of Urology, Fahey Center Rm 260, Maywood, IL 60153-3328 Ph: (708) 216-5100 |
Timothy Moonhwan Han, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8467 | |
Dr. Liam Hatch, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6901 Fax: 708-216-6585 | |
Christopher Gonzalez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Grace Bayudan Delos Santos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Derek John Matoka, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153 Phone: 708-216-6266 Fax: 708-216-6585 | |
Gopal N. Gupta, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153 Phone: 708-216-5098 Fax: 708-126-1699 |