Othman A Jibril, DO | |
416 N Pinecrest Rd, Bolingbrook, IL 60440-2147 | |
(630) 739-5311 | |
Not Available |
Full Name | Othman A Jibril |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 416 N Pinecrest Rd, Bolingbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801871967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 36106163 (Illinois) | Primary |
Entity Name | Chicago Central Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093162836 PECOS PAC ID: 3072415520 Enrollment ID: O20040123000979 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Othman A Jibril, DO 416 N Pinecrest Rd, Bolingbrook, IL 60440-2147 Ph: (630) 739-5311 | Othman A Jibril, DO 416 N Pinecrest Rd, Bolingbrook, IL 60440-2147 Ph: (630) 739-5311 |
Andrea Green, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-312-5000 | |
Erika Lauren Clayton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 N Weber Rd, Bolingbrook, IL 60490 Phone: 888-693-6437 Fax: 630-432-6667 | |
Dr. Mohd Noman Mohiuddin, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 693 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-362-1562 Fax: 630-326-8768 | |
Dr. Stephen Kalmar, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1914 Danube Way, Bolingbrook, IL 60490 Phone: 773-771-9391 | |
Dr. Zane P. Osborne, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 268 Butternut Dr, Bolingbrook, IL 60440 Phone: 630-346-1952 |