| Dr Albert C Tanlim, MD | |
|
845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 | |
| (815) 432-2461 | |
| (815) 432-2535 |
| Full Name | Dr Albert C Tanlim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 845 S 4th St, Watseka, 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 |
|---|---|---|---|
| 1659342665 | NPI | - | NPPES |
| 3711693620021 | Medicaid | IL | |
| 03815080 | Other | IL | BC BS |
| 200386800A | Medicaid | IN | |
| K10959 | Other | PIN | |
| 036091262 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 036091262 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| R.m.c. Home Health Care | Peotone, IL | Home health agency |
| Vitas Corporation | Tinley park, IL | Hospice |
| Iroquois Memorial Hospice | Watseka, IL | Hospice |
| Carle Hoopeston Regional Health Center | Hoopeston, IL | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Watseka Rehab & Hlth Care Ctr | Watseka, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoopeston Community Memorial Hospital | 3577456037 | 142 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Albert C Tanlim, MD 819 W Lafayette St, #93, Watseka, IL 60970 Ph: (815) 432-4743 | Dr Albert C Tanlim, MD 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 Ph: (815) 432-2461 |
Dr. Ahsan M Basha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1490 E Walnut St Ste A, Watseka, IL 60970 Phone: 815-432-0250 Fax: 815-432-5217 |