| Dr Casem Ballouk, MD | |
|
7531 S Stony Island Ave Ste 164, Chicago, IL 60649-3954 | |
| (619) 333-0214 | |
| Not Available |
| Full Name | Dr Casem Ballouk |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 8 Years |
| Location | 7531 S Stony Island Ave Ste 164, Chicago, 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 |
|---|---|---|---|
| 1649851924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301510121 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bc Collective Of Ga Llc | 7214414499 | 6 |
| Bc Collective Of Ga Llc | 7214414499 | 6 |
| Bc Collective Of Ca Pc | 3870088123 | 4 |
| Southside Primary Care Group Sc | 4587952650 | 9 |
| Entity Name | BC Collective of Ga LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700746237 PECOS PAC ID: 7214414499 Enrollment ID: O20260312003350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Casem Ballouk, MD 3990 John R St, Detroit, MI 48201-2018 Ph: (313) 745-8040 | Dr Casem Ballouk, MD 7531 S Stony Island Ave Ste 164, Chicago, IL 60649-3954 Ph: (619) 333-0214 |
Rita Zafra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2004 N Pulaski Rd, Chicago, IL 60639 Phone: 773-772-8876 |
Dr. Mohammad Usman Ahmad, MD General Practice Medicare: Medicare Enrolled Practice Location: 4559 S Michigan Ave Unit 2n, Chicago, IL 60653 Phone: 708-769-8230 |
Dr. Esmeraldo E Cordova, MD General Practice Medicare: Medicare Enrolled Practice Location: 3625 W Roosevelt Rd, Chicago, IL 60624 Phone: 773-522-0110 Fax: 630-964-8397 |
William Pintelon, DO General Practice Medicare: May Accept Medicare Assignments Practice Location: 1969 W Ogden Ave, Chicago, IL 60612 Phone: 312-864-6000 |
Dr. August James Frank, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 1401 S California Ave Ste 1, Chicago, IL 60608 Phone: 773-565-3074 |
Dr. Alejandro Rarang, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1044 N Francisco Ave, Chicago, IL 60622 Phone: 773-292-8278 |
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