Husam Hafzah, MD | |
777 Park Ave W, Highland Park, IL 60035-2433 | |
(847) 432-8000 | |
Not Available |
Full Name | Husam Hafzah |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 12 Years |
Location | 777 Park Ave W, Highland Park, 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 |
---|---|---|---|
1760987598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036154843 (Illinois) | Secondary |
208M00000X | Hospitalist | 036154843 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Sinai Medical Centers Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346418720 PECOS PAC ID: 0749239135 Enrollment ID: O20050112000714 |
Entity Name | Advanced Urgent Care Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184994790 PECOS PAC ID: 3274785449 Enrollment ID: O20121214000451 |
Mailing Address | Practice Location Address |
---|---|
Husam Hafzah, MD 3333 Green Bay Rd, North Chicago, IL 60064-3095 Ph: (847) 578-3000 | Husam Hafzah, MD 777 Park Ave W, Highland Park, IL 60035-2433 Ph: (847) 432-8000 |
Maxie I Mcdonough, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2530 Fax: 847-570-0231 | |
Dr. Nicole Aida Kafati, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2530 | |
Kosha Kamani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-926-5840 Fax: 847-926-5835 | |
Dr. Lynette C Connell, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 708-684-2699 |