Ida Molavi, | |
836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 | |
(773) 296-5073 | |
(773) 296-7199 |
Full Name | Ida Molavi |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 11 Years |
Location | 836 W Wellington Ave Rm 4813cc, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730663907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 321181 (Louisiana) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 036168562 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Hospital And Medical Center | Paterson, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Josephs Medical Group Pc | 8628470325 | 173 |
Entity Name | St Josephs Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
Entity Name | St Josephs Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
Mailing Address | Practice Location Address |
---|---|
Ida Molavi, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Ida Molavi, 836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 Ph: (773) 296-5073 |
Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500 | |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 |