Dr Mohammed Shujauddin Ahmed, DO | |
396 Remington Blvd Ste 140, Bolingbrook, IL 60440-4311 | |
(630) 495-9356 | |
(630) 495-9357 |
Full Name | Dr Mohammed Shujauddin Ahmed |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 22 Years |
Location | 396 Remington Blvd Ste 140, Bolingbrook, 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 |
---|---|---|---|
1962588061 | NPI | - | NPPES |
400280 | Other | IL | MEDICARE GROUP PTAN |
036113939 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-113939 (Illinois) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 036113939 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Usrc - Bolingbrook | Bolingbrook, IL | Dialysis facility |
Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Associates Of Northern Illinois Ltd | 2163328675 | 93 |
Nani Elk Grove | 8123266376 | 20 |
Entity Name | Nephrology Associates Of Northern Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313 |
Entity Name | Nani Elk Grove |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154675528 PECOS PAC ID: 8123266376 Enrollment ID: O20130529000429 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammed Shujauddin Ahmed, DO 120 W 22nd St Ste 200, Oak Brook, IL 60523-1563 Ph: (630) 575-5000 | Dr Mohammed Shujauddin Ahmed, DO 396 Remington Blvd Ste 140, Bolingbrook, IL 60440-4311 Ph: (630) 495-9356 |
Abdus Samad Soudagar, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd, 260, Bolingbrook, IL 60440 Phone: 630-312-2590 | |
Fatima Saifuddin, M.D Nephrology Medicare: Medicare Enrolled Practice Location: 396 Remington Blvd Ste 380, Bolingbrook, IL 60440 Phone: 630-861-6278 | |
Melissa Marie Kelly, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Remington Blvd, Suite 200 Attn: Aim, Bolingbrook, IL 60440 Phone: 630-312-7755 | |
Dr. Stephen Lee, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Remington Blvd, Suite 200, Bolingbrook, IL 60440 Phone: 630-312-7755 Fax: 630-856-9933 | |
Riddhi Pakrasi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440 Phone: 630-646-5777 Fax: 630-646-5729 | |
Valentina Macrinici, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 420 S Schmidt Rd, Suite 230, Bolingbrook, IL 60440 Phone: 630-312-2000 | |
Dr. Huma Q. Rohail, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd Ste 140, Bolingbrook, IL 60440 Phone: 630-495-9356 Fax: 630-495-9357 |