| Asim Elmahboub, MD | |
|
200 Health Care Dr, Greenville, IL 62246-1154 | |
| (618) 664-1230 | |
| Not Available |
| Full Name | Asim Elmahboub |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 200 Health Care Dr, Greenville, 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 |
|---|---|---|---|
| 1316984859 | NPI | - | NPPES |
| L51016 | Other | IL | MEDICARE PIN FOR GOUP #645650 |
| 036092477 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crystal Pines Rehab & Hcc | Crystal lake, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | United Elite Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912279050 PECOS PAC ID: 6204075112 Enrollment ID: O20130625000212 |
| Entity Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Entity Name | Cep America - Illinois Snf Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20241001000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Asim Elmahboub, MD 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 Ph: (630) 954-6700 | Asim Elmahboub, MD 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230 |
Ryan L Jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Dr. Philip Edward Siefken, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Red Ball Trl, Greenville, IL 62246 Phone: 618-664-1240 Fax: 618-690-2189 |