Dr Baroukh Radfar, MD | |
16264 Prince Dr, South Holland, IL 60473 | |
(708) 331-2040 | |
(708) 331-9755 |
Full Name | Dr Baroukh Radfar |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 16264 Prince Dr, South Holland, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528131018 | NPI | - | NPPES |
036047059 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036047059 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Baroukh Radfar, MD 16264 Prince Dr, South Holland, IL 60473 Ph: (708) 331-2040 | Dr Baroukh Radfar, MD 16264 Prince Dr, South Holland, IL 60473 Ph: (708) 331-2040 |
Susan Barclay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0621 | |
Keith Williams, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Mohayya Khilfeh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Dr. Wendell A Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202 |