Midwest Neurology Associates Pc | |
1100 Joliet St Ste 201 Dyer IN 46311-1995 | |
(219) 836-2096 | |
(219) 836-2097 |
Full Name | Midwest Neurology Associates Pc |
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Speciality | Psychiatry & Neurology |
Location | 1100 Joliet St Ste 201, Dyer, Indiana |
Authorized Official Name and Position | Samer Kassar (OWNER) |
Authorized Official Contact | 2198362096 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Neurology Associates Pc Po Box 423 Dyer IN 46311-0423 Ph: (219) 836-2096 | Midwest Neurology Associates Pc 1100 Joliet St Ste 201 Dyer IN 46311-1995 Ph: (219) 836-2096 |
NPI Number | 1124453279 |
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Provider Enumeration Date | 09/09/2013 |
Last Update Date | 01/31/2018 |
Medicare PECOS PAC ID | 3779710660 |
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Medicare Enrollment ID | O20131223000284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124453279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 01073001A (Indiana) | Primary |
Provider Name | Subhasree Misra |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1326092362 PECOS PAC ID: 2365403854 Enrollment ID: I20110801000486 |
Provider Name | Samer Kassar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1902839525 PECOS PAC ID: 3375547128 Enrollment ID: I20131223000515 |
Provider Name | Roberto Rivera-morales |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992797377 PECOS PAC ID: 6002713336 Enrollment ID: I20150128001438 |
Provider Name | Michelle A Terwilliger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912360546 PECOS PAC ID: 8123327970 Enrollment ID: I20160428000901 |
Provider Name | Anastasia M Yorkman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316464035 PECOS PAC ID: 5395011779 Enrollment ID: I20171031000387 |
Provider Name | Anne M Glaser |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689671828 PECOS PAC ID: 3870583321 Enrollment ID: I20181008001274 |
Provider Name | Kristen N Bilek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518423938 PECOS PAC ID: 6608115639 Enrollment ID: I20190308000641 |
Provider Name | Amjad A Safvi |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20190930000400 |
Provider Name | Maher Fattouh |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1457309965 PECOS PAC ID: 4385639970 Enrollment ID: I20200428000150 |
Provider Name | Philip Brandeis Mcdonald |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1649411422 PECOS PAC ID: 1759551088 Enrollment ID: I20201216001095 |
Provider Name | Abdullah Tolaymat |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295022515 PECOS PAC ID: 7719124015 Enrollment ID: I20210719002609 |
Provider Name | Mostafa Farache |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1366646879 PECOS PAC ID: 7618041740 Enrollment ID: I20220615000892 |
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