| Dr Adel Samy Raheb, MD | |
|
101 W University Ave Ste 303, Champaign, IL 61820-3981 | |
| (217) 366-1255 | |
| (217) 429-0108 |
| Full Name | Dr Adel Samy Raheb |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 49 Years |
| Location | 101 W University Ave Ste 303, Champaign, 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 |
|---|---|---|---|
| 1265418982 | NPI | - | NPPES |
| 036110172 | Medicaid | IL | |
| 05832038 | Other | IL | BLUE CROSS/BLUE SHIELD |
| DE3439 | Other | IL | RAILROAD MEDICARE GROUP PIN |
| 634112 | Other | IL | HEALTHLINK |
| P00286821 | Other | IL | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036110172 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Shore Ob Gyn Of Decatur S C | 1658269840 | 2 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Entity Name | Lake Shore Ob Gyn Of Decatur S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700925583 PECOS PAC ID: 1658269840 Enrollment ID: O20040309000715 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adel Samy Raheb, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-1255 | Dr Adel Samy Raheb, MD 101 W University Ave Ste 303, Champaign, IL 61820-3981 Ph: (217) 366-1255 |
Dr. Candace D Mcgregor, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1255 Fax: 217-366-6106 | |
Ines O Baquero, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Ob/gyn, Champaign, IL 61822 Phone: 217-365-8208 Fax: 217-326-1234 | |
Marta T Spain, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-326-1477 Fax: 217-326-1110 | |
Dr. Beverly Minolta London, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6208 Fax: 217-326-1234 | |
Sarah B Young, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-8107 Fax: 217-366-6106 | |
Teresa S King, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 |