| Amir J Heydari, MD | |
|
10350 Haligus Rd Ste 220, Huntley, IL 60142-9585 | |
| (815) 455-2752 | |
| (815) 455-2789 |
| Full Name | Amir J Heydari |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 10350 Haligus Rd Ste 220, Huntley, 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 |
|---|---|---|---|
| 1417945437 | NPI | - | NPPES |
| 036090794 | Medicaid | IL | |
| DR.0054524 | Other | CO | STATE LICENSE |
| 036090794 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DR.0054524 (Colorado) | Secondary |
| 208600000X | Surgery | 036090794 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| First Class Urgent Care Pc | 5092068577 | 11 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Amir J Heydari, MD 10350 Haligus Rd Ste 220, Huntley, IL 60142-9585 Ph: (815) 455-2752 | Amir J Heydari, MD 10350 Haligus Rd Ste 220, Huntley, IL 60142-9585 Ph: (815) 455-2752 |
Dr. Piero Marco Antonio Fisichella, MD, MBA Surgery Medicare: Not Enrolled in Medicare Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 773-354-5857 | |
Dr. Roger Alan Lundquist, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11650 South Route 47, Huntley, IL 60142 Phone: 815-338-6600 | |
Joseph John Minalt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0000 |