Dr Carl K Atallah, DO | |
3000 N Halsted St Ste 625, Chicago, IL 60657-5196 | |
(773) 281-5818 | |
(773) 281-6859 |
Full Name | Dr Carl K Atallah |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 3000 N Halsted St Ste 625, 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 |
---|---|---|---|
1922269190 | NPI | - | NPPES |
F400145031 | Other | IL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036127620 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Gi Llc | 7416205414 | 4 |
Entity Name | Advanced Gi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942795422 PECOS PAC ID: 7416205414 Enrollment ID: O20180808000791 |
Mailing Address | Practice Location Address |
---|---|
Dr Carl K Atallah, DO Po Box 463, Northbrook, IL 60065-0463 Ph: (773) 281-5818 | Dr Carl K Atallah, DO 3000 N Halsted St Ste 625, Chicago, IL 60657-5196 Ph: (773) 281-5818 |
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