| Dr Ishaan Hublikar, DO | |
|
26w171 Roosevelt Rd, Wheaton, IL 60187-6002 | |
| (630) 909-7000 | |
| (630) 909-7002 |
| Full Name | Dr Ishaan Hublikar |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 26w171 Roosevelt Rd, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063973691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 125.074260 (Illinois) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 036171014 (Illinois) | Primary |
| 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 | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ishaan Hublikar, DO 26w171 Roosevelt Rd, Wheaton, IL 60187-6002 Ph: (630) 909-7000 | Dr Ishaan Hublikar, DO 26w171 Roosevelt Rd, Wheaton, IL 60187-6002 Ph: (630) 909-7000 |
Dr. Noelia Donamaria, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-909-7000 Fax: 630-909-7002 | |
Dr. Larissa Rae Pavone, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 26w171 Roosevelt Road, Marianjoy Rehabilitation Hospital, Wheaton, IL 60187 Phone: 630-909-7337 Fax: 630-909-7039 | |
Dr. Courtney Jean Stefanski, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-909-8000 | |
Dr. Steven Bou, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-909-7000 Fax: 630-909-7001 | |
Joseph Patrick Lagattuta, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-909-7290 | |
Samah Raheem, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-362-9993 |