| Dr Mariyam Yasmeen Houston, DO | |
|
1300 Franklin Ave Ste 110, Normal, IL 61761-3799 | |
| (309) 268-3558 | |
| Not Available |
| Full Name | Dr Mariyam Yasmeen Houston |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1300 Franklin Ave Ste 110, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407417306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125079101 (Illinois) | Secondary |
| 208000000X | Pediatrics | 8579 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 02007922A (Indiana) | Primary |
| Entity Name | Valley Professionals Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104006253 PECOS PAC ID: 7618067265 Enrollment ID: O20071219000487 |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mariyam Yasmeen Houston, DO 1300 Franklin Ave, Ste 110, Normal, IL 61761-3799 Ph: () - | Dr Mariyam Yasmeen Houston, DO 1300 Franklin Ave Ste 110, Normal, IL 61761-3799 Ph: (309) 268-3558 |
Dr. Rachel Christine Dalal, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761 Phone: 309-268-3761 Fax: 309-268-5620 | |
Ashraf Abdeljaber, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 | |
John A. Pollastrini, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 1100, Normal, IL 61761 Phone: 309-268-2727 Fax: 309-268-6513 | |
George Gerolimatos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-3558 | |
James Steven Vales, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Veronica Way, Normal, IL 61761 Phone: 309-454-4698 | |
Susan Rausch, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761 Phone: 309-661-6290 Fax: 309-451-1354 | |
Dr. Unnati Upadhyay, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-268-3598 |