Roger Haab, MD | |
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
(815) 758-8671 | |
Not Available |
Full Name | Roger Haab |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1850 Gateway Dr, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386653517 | NPI | - | NPPES |
036079768 | Medicaid | IL | |
008454 | Other | IL | HEALTH ALLIANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-079768 (Illinois) | Primary |
Entity Name | Kishwaukee Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
Mailing Address | Practice Location Address |
---|---|
Roger Haab, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | Roger Haab, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
Dr. Paul H Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 Hauser Ross Drive, Suite 325, Sycamore, IL 60178 Phone: 815-758-7700 | |
Dr. Mohammad Taghi Takhtehchian, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 Edward St, Sycamore, IL 60178 Phone: 815-895-2144 | |
Mujahid Mohammad Hussain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-756-1521 | |
Dr. Jacob Stephen, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 630-232-0280 Fax: 630-232-3895 | |
Periakaruppan Ramanathan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2535 Bethany Road, #110, Sycamore, IL 60178 Phone: 815-756-1434 Fax: 815-756-4776 | |
Bhavisha Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Kishhealth System Physician Group, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-5491 |