| Angela H Mahome, MD | |
| 
					13011 S 104th Ave, Suite 200, Palos Park, IL 60464-1500  | |
| (708) 448-3300 | |
| (708) 448-6972 | 
| Full Name | Angela H Mahome | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 13011 S 104th Ave, Palos Park, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265576011 | NPI | - | NPPES | 
| 01623882 | Other | IL | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary | 
| Entity Name | Chicago Bh Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972384758 PECOS PAC ID: 4284021262 Enrollment ID: O20220805003038  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela H Mahome, MD 13011 S 104th Ave, Suite 200, Palos Park, IL 60464-1500 Ph: (708) 448-3300  | Angela H Mahome, MD 13011 S 104th Ave, Suite 200, Palos Park, IL 60464-1500 Ph: (708) 448-3300  | 
Dr. Ramesh H. Doshi, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13011 S 104th Ave, Suite 200, Palos Park, IL 60464 Phone: 708-448-3300 Fax: 708-448-6972  | |
Rajitha Lakshmi Avva, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 Phone: 708-448-3300  |