Salim Shackour, MD | |
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
(217) 464-5811 | |
(217) 464-1318 |
Full Name | Salim Shackour |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 24 Years |
Location | 1800 E Lake Shore Dr, Decatur, 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 |
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1760673099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 036119015 (Illinois) | Primary |
Facility Name | Location | Facility Type |
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St Marys Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hshs Medical Group Inc | 5092857821 | 236 |
Entity Name | Hshs Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
Entity Name | Cep America-illinois Hospitalists, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
Mailing Address | Practice Location Address |
---|---|
Salim Shackour, MD 1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65401-2905 Ph: (573) 364-9000 | Salim Shackour, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-5811 |
Dr. Jeffrey P Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Dr. Jeanne Marie Kairouz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521 Phone: 217-422-6100 | |
Dr. Stephen R Goetter, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 | |
Dr. Prameeta Jha, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526 Phone: 217-876-3660 Fax: 217-876-3665 | |
David W Baumberger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 | |
Dr. Ahmad H Ahmad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521 Phone: 217-428-7921 Fax: 217-428-7931 | |
Nadal M Aker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 |