Tarek I Hassaballa, MD | |
12255 S 80th Ave Ste 202, Palos Heights, IL 60463-1284 | |
(708) 923-7878 | |
(708) 923-7888 |
Full Name | Tarek I Hassaballa |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 12255 S 80th Ave Ste 202, Palos Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205364122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2017015908 (Missouri) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036153276 (Illinois) | Secondary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
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Tarek I Hassaballa, MD 12255 S 80th Ave Ste 202, Palos Heights, IL 60463-1284 Ph: (708) 923-7878 | Tarek I Hassaballa, MD 12255 S 80th Ave Ste 202, Palos Heights, IL 60463-1284 Ph: (708) 923-7878 |
Dr. Nestor M Ivkov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11824 Southwest Hwy, Suite 100, Palos Heights, IL 60463 Phone: 708-361-0222 Fax: 708-361-4536 | |
Abdallah Mahmoud Hamdallah, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11824 Southwest Hwy Ste 100, Palos Heights, IL 60463 Phone: 708-361-0222 Fax: 708-361-6450 | |
Dr. Beth Ledvora, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7808 W College Dr Ste 2w, Palos Heights, IL 60463 Phone: 708-361-5110 Fax: 708-361-5305 | |
Dr. Arthur Itkin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7600 W College Dr Ste 5, Palos Heights, IL 60463 Phone: 708-485-4663 Fax: 708-671-8387 | |
Dr. Mary E Belford, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12255 S 80th Ave Ste 202, Palos Heights, IL 60463 Phone: 708-923-7878 Fax: 708-923-7888 | |
Dr. Russell H Glantz, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7600 W College Dr, Palos Heights, IL 60463 Phone: 708-361-0600 Fax: 708-923-2529 |