| Dr Malaya Abrigo Tuazon, MD | |
|
100 E Jeffery St, Kankakee, IL 60901-5018 | |
| (815) 939-8585 | |
| (815) 939-8383 |
| Full Name | Dr Malaya Abrigo Tuazon |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 100 E Jeffery St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588701197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Entity Name | Illinois Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Malaya Abrigo Tuazon, MD 100 E Jeffery St, Kankakee, IL 60901-5018 Ph: (815) 939-8585 | Dr Malaya Abrigo Tuazon, MD 100 E Jeffery St, Kankakee, IL 60901-5018 Ph: (815) 939-8585 |
Dr. Martin T Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 108, Kankakee, IL 60901 Phone: 888-220-6432 Fax: 630-654-4253 | |
Dr. Raju Zachariah Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846 | |
Dr. Lynn G Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 | |
Mario Gerard Massullo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1710 W. Court St., Kankakee, IL 60901 Phone: 815-936-3200 Fax: 815-936-3203 | |
Dr. Samrat Umesh Khanna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846 | |
Dr. Rahul Patel, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Suresh K Didwania, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 400, Kankakee, IL 60901 Phone: 815-932-4614 Fax: 815-932-4615 |