| Shahbain Internal Medicine Ltd | |
|
12508 S Harlem Ave Suite C Palos Heights IL 60463-1597 | |
| (708) 349-0055 | |
| Not Available |
| Full Name | Shahbain Internal Medicine Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 12508 S Harlem Ave, Palos Heights, Illinois |
| Authorized Official Name and Position | Abdul Shahbain (OWNER) |
| Authorized Official Contact | 7083490055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahbain Internal Medicine Ltd 10660 W 143rd St Suite B Orland Park IL 60462-1982 Ph: (708) 460-4499 | Shahbain Internal Medicine Ltd 12508 S Harlem Ave Suite C Palos Heights IL 60463-1597 Ph: (708) 349-0055 |
| NPI Number | 1295924439 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 9537152459 |
|---|---|
| Medicare Enrollment ID | O20040406001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295924439 | NPI | - | NPPES |
| 036085113 | Medicaid | IL | |
| 1633951 | Other | IL | BLUE CROSS BLUE SHIELD |
| DA7825 | Other | IL | PALMETTO RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36085113 (Illinois) | Primary |
| Provider Name | Abdul-hamid Shahbain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023032646 PECOS PAC ID: 1951394881 Enrollment ID: I20040408000059 |
| Provider Name | Ghassan Rahhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942225909 PECOS PAC ID: 7315831427 Enrollment ID: I20060925000528 |
| Provider Name | Shakir Moiduddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295810547 PECOS PAC ID: 3870640519 Enrollment ID: I20090415000064 |
| Provider Name | Lisa Dezoute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730569088 PECOS PAC ID: 9830403989 Enrollment ID: I20150803000948 |
| Provider Name | Jason W Moyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889244 PECOS PAC ID: 3870893365 Enrollment ID: I20151207000908 |
| Provider Name | Sumera Seraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065991 PECOS PAC ID: 6800176116 Enrollment ID: I20161202000876 |
| Provider Name | Mark David Zenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801345707 PECOS PAC ID: 9133409071 Enrollment ID: I20161209001636 |
| Provider Name | Ivona Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699385088 PECOS PAC ID: 1658741475 Enrollment ID: I20230111002953 |
Palos Medical Care Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 S Ridgeland Ave, Unit D, Palos Heights, IL 60463 Phone: 708-389-7663 Fax: 708-389-7664 | |
Afiz A. Taiwo, Md. Mph. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Pinehurst Dr, Palos Heights, IL 60463 Phone: 708-334-9494 | |
Dr. Almasri And Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12632 S Harlem Ave, Palos Heights, IL 60463 Phone: 708-587-0000 Fax: 708-623-7628 | |
Fj Wall Md & William J Ruff Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 W College Dr, Palos Heights, IL 60463 Phone: 708-361-8449 Fax: 708-361-8469 | |
Zulfiqar H Rizvi Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 W College Dr, Palos Heights, IL 60463 Phone: 708-349-0055 Fax: 708-460-8031 | |
Alexander W. Kmicikewycz,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12622 S Harlem Ave, Palos Heights, IL 60463 Phone: 708-923-9610 | |
Chicago Health Colleagues, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-5242 Fax: 708-923-5035 |