| Amina Husain, MD | |
|
20303 Crawford Ave, Olympia Fields, IL 60461-1073 | |
| (708) 898-1858 | |
| Not Available |
| Full Name | Amina Husain |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 21 Years |
| Location | 20303 Crawford Ave, Olympia Fields, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841494416 | NPI | - | NPPES |
| 2786593032 | Other | MYUTMB 2786593032-COMMERCIAL NUMBER | |
| 0054561 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35097337 (Ohio) | Secondary |
| 207W00000X | Ophthalmology | 2008-00496 (North Carolina) | Secondary |
| 207W00000X | Ophthalmology | 036.148389 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Altru Health System | 1355251604 | 554 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Amina Husain, MD 8370 Paragon Rd, Dayton, OH 45458-2135 Ph: (937) 223-9117 | Amina Husain, MD 20303 Crawford Ave, Olympia Fields, IL 60461-1073 Ph: (708) 898-1858 |
Dr. Athanasios George Marneris, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 20303 Crawford Ave Ste Ll, Olympia Fields, IL 60461 Phone: 708-898-1858 | |
Richard Floyd Multack, D.O. Ophthalmology Medicare: Medicare Enrolled Practice Location: 20303 Crawford Ave, Suite Ll 1, Olympia Fields, IL 60461 Phone: 708-898-1858 Fax: 708-898-1860 | |
Dr. Samuel J Multack, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4001 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Sharon S Burke, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 3700 W 203rd St, Suite 103, Olympia Fields, IL 60461 Phone: 708-748-5202 Fax: 708-748-7305 |