| Fizan Abdullah, MD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-9000 | |
| Not Available |
| Full Name | Fizan Abdullah |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689637472 | NPI | - | NPPES |
| 409107800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D63677 (Maryland) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | 036138914 (Illinois) | Primary |
| Entity Name | The Board of Trustees of the University of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Humboldt Park Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704 |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Fizan Abdullah, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Fizan Abdullah, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Francis Harford, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, Ems Bldg., 3rd Floor, Maywood, IL 60153 Phone: 708-327-2647 Fax: 708-327-2852 |
Dr. Robert Paul Bertellotti, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 319-356-7850 |
Dr. Adam Scott Kabaker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Department Of Surgery, Maywood, IL 60153 Phone: 708-216-8000 |
Abdallah Shkoukani, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-3042 Fax: 708-327-3489 |
Katherine Duquette, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 312-622-1790 |
Emma Frances Sheedy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 650-888-0742 |
Dr. Eric Marcotte, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |