Dr Samuel P Mathew, MD | |
14475 John Humphrey Dr Ste 100, Orland Park, IL 60462-6216 | |
(708) 206-0305 | |
(708) 206-0300 |
Full Name | Dr Samuel P Mathew |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 14475 John Humphrey Dr Ste 100, Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801959705 | NPI | - | NPPES |
0031603366 | Other | IL | BCBS PIN |
010025068 | Other | IL | RAILROAD MEDICARE PIN |
036065418 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036065418 (Illinois) | Primary |
Entity Name | Intra-hearts Service Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952467375 PECOS PAC ID: 7911076872 Enrollment ID: O20080519000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel P Mathew, MD Po Box 947, Orland Park, IL 60462-0947 Ph: (708) 206-0305 | Dr Samuel P Mathew, MD 14475 John Humphrey Dr Ste 100, Orland Park, IL 60462-6216 Ph: (708) 206-0305 |
Laisvyde Smajkic, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 17047 La Grange Rd, Orland Park, IL 60487 Phone: 630-268-0200 | |
Pragathi Challa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14741 S Ravinia Ave, Orland Park, IL 60462 Phone: 708-226-8125 | |
Dr. Adel Samad, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14640 John Humphrey Dr Ste 201, Orland Park, IL 60462 Phone: 708-251-4193 Fax: 708-251-4193 | |
Amani Erra, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 100a, Orland Park, IL 60462 Phone: 708-226-2318 Fax: 708-226-2319 | |
Dr. Ayodele Osowo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 210, Orland Park, IL 60462 Phone: 708-226-2870 Fax: 708-226-2315 | |
Dr. Amee Majmundar, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 16660 S. 107th Ave., Orland Park, IL 60467 Phone: 708-403-8500 | |
Alicja Kraska-cwikla, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15614 S Harlem Ave, Suite D, Orland Park, IL 60462 Phone: 708-444-0097 Fax: 708-444-8252 |