| Azeem S Haleem, MD | |
|
1310 N Main, Suite 200, Sandwich, IL 60548-1394 | |
| (815) 786-9988 | |
| (815) 786-9986 |
| Full Name | Azeem S Haleem |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 39 Years |
| Location | 1310 N Main, Sandwich, 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 |
|---|---|---|---|
| 1154366706 | NPI | - | NPPES |
| 036084000 | Other | IL | MEDICAID |
| 036084000 | Medicaid | IL | |
| IL6309002 | Other | IL | MEDICARE INDIVIDUAL |
| IL6309 | Other | IL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036084000 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Valley West Community Hospital | Sandwich, IL | Hospital |
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Delnor Community Hospital | Geneva, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| 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 |
| Entity Name | Kishwaukee Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Azeem S Haleem, MD 1310 N Main St, Sandwich, IL 60548-1394 Ph: (815) 786-9988 | Azeem S Haleem, MD 1310 N Main, Suite 200, Sandwich, IL 60548-1394 Ph: (815) 786-9988 |