Jasmine Mathew Maly, MD | |
400 N Wall St, Suite 304, Kankakee, IL 60901-2940 | |
(815) 929-1388 | |
(815) 935-7062 |
Full Name | Jasmine Mathew Maly |
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Gender | Female |
Speciality | Anesthesiology |
Location | 400 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669412433 | NPI | - | NPPES |
036101753 | Medicaid | IL | |
P01059367 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036101753 (Illinois) | Primary |
207L00000X | Anesthesiology | 01074614A (Indiana) | Secondary |
Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
Mailing Address | Practice Location Address |
---|---|
Jasmine Mathew Maly, MD Po Box 13749, Philadelphia, PA 19101-3749 Ph: (855) 447-2240 | Jasmine Mathew Maly, MD 400 N Wall St, Suite 304, Kankakee, IL 60901-2940 Ph: (815) 929-1388 |
Prit Shah, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 617-638-6500 Fax: 815-933-1671 | |
Dr. Sunny Niranjan Shah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 Fax: 815-935-7867 | |
John A Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 800-444-6110 | |
David Yeung, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Yasser A Alhaj-hussein, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Dept Of Anesthesesia, Kankakee, IL 60901 Phone: 815-933-1671 |