Dr Yousef Sadeq Al-shraideh, MD | |
1001 Main St Ste 400, Peoria, IL 61606-2036 | |
(309) 308-0920 | |
(309) 308-0930 |
Full Name | Dr Yousef Sadeq Al-shraideh |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 23 Years |
Location | 1001 Main St Ste 400, Peoria, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184989915 | NPI | - | NPPES |
036136798 | Medicaid | IL | |
5921030 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2012-0604 (North Carolina) | Secondary |
208800000X | Urology | 2012-0904 (North Carolina) | Secondary |
208800000X | Urology | 036136798 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
St Mary Medical Center | Galesburg, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | Excellent Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215223623 PECOS PAC ID: 1355506817 Enrollment ID: O20120706000494 |
Entity Name | Osf Multi-specialty Group |
---|---|
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 |
---|---|
Dr Yousef Sadeq Al-shraideh, MD Po Box 602658, Charlotte, NC 28260-2658 Ph: (336) 716-2255 | Dr Yousef Sadeq Al-shraideh, MD 1001 Main St Ste 400, Peoria, IL 61606-2036 Ph: (309) 308-0920 |
Jubilee Phan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St Ste 400, Peoria, IL 61606 Phone: 309-308-0920 Fax: 309-308-0930 | |
Dr. Robert Stuart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 | |
Dr. James Nicholas Kenny Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790 | |
Dr. Churphena Reid, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 201, Peoria, IL 61606 Phone: 309-495-0282 Fax: 309-495-0298 | |
Dr. Giovanni Colombo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 | |
Dr. Ted A Solomon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790 | |
Dr. Jose M Hernandez, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 |