| Hassan Kieso, | |
|
3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1184 | |
| (708) 679-2670 | |
| (708) 503-3260 |
| Full Name | Hassan Kieso |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 53 Years |
| Location | 3800 W 203rd St, Olympia Fields, 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 |
|---|---|---|---|
| 1407812050 | NPI | - | NPPES |
| 036092223 | Medicaid | IL | |
| L95559 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036092223 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cgh Medical Center | Sterling, IL | Hospital |
| Morrison Community Hospital | Morrison, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cgh Medical Center | 6103723267 | 172 |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Hassan Kieso, 1040 Sierra Drive, Suite 400, Greenwood, IN 46143-7241 Ph: (317) 528-4253 | Hassan Kieso, 3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1184 Ph: (708) 679-2670 |
Mr. Praneet Satyendra Mylavarapu, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7297 Fax: 708-503-3296 | |
Chintan Shah, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Albara Said, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-898-0811 Fax: 708-898-1839 | |
Anand Kumar Gupta, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2160 Fax: 708-679-2161 | |
Dr. Matthew L Kamin, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260 | |
Dr. Edward Joseph Winter, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461 Phone: 708-747-6929 Fax: 708-747-6929 | |
Dr. Savio G Manatt, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 20060 Governors Dr Ste 204, Olympia Fields, IL 60461 Phone: 708-283-8300 Fax: 708-283-9245 |