Dr Oussama Itani, MD | |
5841 S Maryland Ave, Chicago, IL 60637-1447 | |
(773) 834-8258 | |
(773) 834-8260 |
Full Name | Dr Oussama Itani |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 5841 S Maryland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083640361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 36101786 (Illinois) | Primary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
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 |
---|---|
Dr Oussama Itani, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 834-8258 | Dr Oussama Itani, MD 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 834-8258 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |