Tiffany Sham, DO | |
3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | |
(708) 783-2000 | |
(708) 783-3656 |
Full Name | Tiffany Sham |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 3231 Euclid Ave, Berwyn, 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 |
---|---|---|---|
1518340058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125070732 (Illinois) | Secondary |
207Q00000X | Family Medicine | 18473 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital And Rehab Center | Vallejo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Sham, DO 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (925) 915-1362 | Tiffany Sham, DO 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 Ph: (708) 783-2000 |
Mr. Micah James Leestma, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Nereida Esparza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Maria Ramirez, Family Medicine Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Bradford S. Wainer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6840 Windsor Ave, Berwyn, IL 60402 Phone: 708-484-0042 Fax: 708-749-5489 | |
Dr. Catherine Anichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6326 Cermak Rd, Berwyn, IL 60402 Phone: 708-303-9234 Fax: 305-698-6536 | |
Elsa Valero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-0044 | |
Dr. Ron Chacko, Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-8090 Fax: 708-445-4444 |