| Fakhre Alam, MD | |
|
2731 W Main St, Suite A, Carbondale, IL 62901-1027 | |
| (618) 549-6378 | |
| (618) 529-2347 |
| Full Name | Fakhre Alam |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 36 Years |
| Location | 2731 W Main St, Carbondale, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427033828 | NPI | - | NPPES |
| 036101704 | Medicaid | IL | |
| 130023524 | Other | RR MEDICARE | |
| 704790 | Medicaid | IL | |
| 036-101704 | Other | IL | ILLINOIS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036101704 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Entity Name | S I Neurology & Sleep Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790875987 PECOS PAC ID: 9335105600 Enrollment ID: O20041208000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Fakhre Alam, MD Po Box 489, Carbondale, IL 62903 Ph: (618) 549-6378 | Fakhre Alam, MD 2731 W Main St, Suite A, Carbondale, IL 62901-1027 Ph: (618) 549-6378 |
Andrea Loggini, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Yasoda Modali, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 374 E.grand Ave, Siuc Student Health Center, Carbondale, IL 62901 Phone: 618-453-4346 Fax: 618-453-2347 | |
Dr. Alaa Mohamed Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Simeon Grater, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 35 Albany Rd, Carbondale, IL 62903 Phone: 618-549-4688 | |
Dr. Gerson A Criste, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1390 Hope Dr, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Mostafa Abdul-rahman Farache, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Ahmed H Jafri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |