| Iftekhar A Awan, MD | |
|
200 E Fairman Ave, Watseka, IL 60970-1644 | |
| (815) 432-5841 | |
| Not Available |
| Full Name | Iftekhar A Awan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 200 E Fairman Ave, Watseka, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114912268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 29474 (Iowa) | Secondary |
| 207P00000X | Emergency Medicine | 036097105 (Illinois) | Primary |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744108 PECOS PAC ID: 4284544255 Enrollment ID: O20040317001077 |
| Entity Name | Iowa Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Iftekhar A Awan, MD 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113 | Iftekhar A Awan, MD 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (815) 432-5841 |
Kathleen O. Halleran, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 | |
Dr. John A. Timmons, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 | |
Vijay Desai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 | |
M. Hytham Beck, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 815-432-5411 | |
Dr. Pradip Shah, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 |