Hanit Shah, | |
815 Main St Ste A, Peoria, IL 61602-1080 | |
(309) 672-4977 | |
Not Available |
Full Name | Hanit Shah |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 815 Main St Ste A, Peoria, 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 |
---|---|---|---|
1366963332 | NPI | - | NPPES |
125.071495 | Other | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036157704 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Inner-city Muslim Action Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003244567 PECOS PAC ID: 4183942212 Enrollment ID: O20150421001140 |
Mailing Address | Practice Location Address |
---|---|
Hanit Shah, 815 Main St Ste A, Peoria, IL 61602-1080 Ph: (309) 672-4977 | Hanit Shah, 815 Main St Ste A, Peoria, IL 61602-1080 Ph: (309) 672-4977 |
Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686 | |
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Iram Yunus, Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Julie Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1524 W Glen Ave, Peoria, IL 61614 Phone: 309-512-0902 | |
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603 Phone: 309-680-7600 Fax: 309-495-8614 | |
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339 |