Dr Mamdouh H Hassaballa, MD is a medicare enrolled "General Practice" physician in Riverwoods, Illinois. His current practice location is
1105 Milwaukee Ave, Riverwoods, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 325-5110.
Dr Mamdouh H Hassaballa is licensed to practice in Illinois (license number 036069096) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003815069.
Physician's Profile
Full Name | Dr Mamdouh H Hassaballa |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1105 Milwaukee Ave, Riverwoods, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mamdouh H Hassaballa attended and graduated from in
NPI Data:
- NPI Number: 1003815069
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 12/16/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mamdouh H Hassaballa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003815069 | NPI | - | NPPES |
036069096 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036069096 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mamdouh H Hassaballa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mamdouh H Hassaballa, MD 1105 Milwaukee Ave, Riverwoods, IL 60015-3512 Ph: (847) 325-5110 | Dr Mamdouh H Hassaballa, MD 1105 Milwaukee Ave, Riverwoods, IL 60015-3512 Ph: (847) 325-5110 |
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