| Advanced Heart Care | |
|
4600 Memorial Dr W3 Belleville IL 62226-5366 | |
| (618) 222-8900 | |
| (618) 222-8950 |
| Full Name | Advanced Heart Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4600 Memorial Dr, Belleville, Illinois |
| Authorized Official Name and Position | Omar Almousalli (OWNER) |
| Authorized Official Contact | 6182228900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Heart Care Po Box 23140 Belleville IL 62223-0140 Ph: (618) 222-8900 | Advanced Heart Care 4600 Memorial Dr W3 Belleville IL 62226-5366 Ph: (618) 222-8900 |
| NPI Number | 1356590178 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 01/08/2015 |
| Medicare PECOS PAC ID | 2264590777 |
|---|---|
| Medicare Enrollment ID | O20081105000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356590178 | NPI | - | NPPES |
| 0360973885 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036097388 (Illinois) | Primary |
| Provider Name | Omar Almousalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134161904 PECOS PAC ID: 6901867548 Enrollment ID: I20041026000790 |
| Provider Name | John J Lehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568480374 PECOS PAC ID: 3779616156 Enrollment ID: I20160405000468 |
| Provider Name | Mohammad Nour Zabad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609109883 PECOS PAC ID: 0244487890 Enrollment ID: I20190814000264 |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste 160, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 | |
Pc Associates ,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Drive, Ste. 220, Belleville, IL 62226 Phone: 618-235-6191 Fax: 618-235-6716 | |
Healthcare Physicians Of Southern Illinois, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr Ste 400, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Albarcha Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-355-9972 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 N 27th St, Belleville, IL 62226 Phone: 618-235-6600 |