Hassan Kieso, | |
3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1184 | |
(708) 679-2670 | |
(708) 503-3260 |
Full Name | Hassan Kieso |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 52 Years |
Location | 3800 W 203rd St, Olympia Fields, 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 |
---|---|---|---|
1407812050 | NPI | - | NPPES |
036092223 | Medicaid | IL | |
L95559 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036092223 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cgh Medical Center | Sterling, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cgh Medical Center | 6103723267 | 161 |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
Mailing Address | Practice Location Address |
---|---|
Hassan Kieso, 1040 Sierra Drive, Suite 400, Greenwood, IN 46143-7241 Ph: (317) 528-4253 | Hassan Kieso, 3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1184 Ph: (708) 679-2670 |
Mr. Praneet Satyendra Mylavarapu, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7297 Fax: 708-503-3296 | |
Chintan Shah, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Albara Said, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-898-0811 Fax: 708-898-1839 | |
Anand Kumar Gupta, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2160 Fax: 708-679-2161 | |
Dr. Matthew L Kamin, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260 | |
Dr. Edward Joseph Winter, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461 Phone: 708-747-6929 Fax: 708-747-6929 | |
Dr. Savio G Manatt, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr Ste 204, Olympia Fields, IL 60461 Phone: 708-283-8300 Fax: 708-283-9245 |