Dr Ali El Ghazzaoui, MD | |
420 Ne Glen Oak Ave, Peoria, IL 61603-3106 | |
(647) 404-7544 | |
Not Available |
Full Name | Dr Ali El Ghazzaoui |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 420 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881383404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 036163784 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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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 |
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Dr Ali El Ghazzaoui, MD 9581 Westwood Dr, Westminster, CA 92683-6949 Ph: (647) 404-7544 | Dr Ali El Ghazzaoui, MD 420 Ne Glen Oak Ave, Peoria, IL 61603-3106 Ph: (647) 404-7544 |
Jubilee Phan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St Ste 400, Peoria, IL 61606 Phone: 309-308-0920 Fax: 309-308-0930 | |
Dr. Robert Stuart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 | |
Dr. James Nicholas Kenny Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790 | |
Dr. Churphena Reid, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 201, Peoria, IL 61606 Phone: 309-495-0282 Fax: 309-495-0298 | |
Dr. Giovanni Colombo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 | |
Dr. Ted A Solomon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790 | |
Dr. Jose M Hernandez, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 |