| Dr Sherriff Alli-balogun, MD | |
|
4747 Lincoln Mall Dr Ste 100, Matteson, IL 60443-3812 | |
| (708) 747-8006 | |
| (708) 747-8272 |
| Full Name | Dr Sherriff Alli-balogun |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 4747 Lincoln Mall Dr Ste 100, Matteson, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114058617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01051719 (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01051719 (Indiana) | Primary |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sherriff Alli-balogun, MD 4747 Lincoln Mall Dr Ste 100, Matteson, IL 60443-3812 Ph: (708) 747-8006 | Dr Sherriff Alli-balogun, MD 4747 Lincoln Mall Dr Ste 100, Matteson, IL 60443-3812 Ph: (708) 747-8006 |
Leonard Robinson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-709-9375 Fax: 708-283-1137 | |
Dorothy M Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-679-2770 Fax: 708-283-1137 | |
Lance T Wallace, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-709-9375 Fax: 708-709-6353 |