| Marietta P Abraham, MD | |
|
10350 Haligus Rd, Huntley, IL 60142-9545 | |
| (815) 338-6600 | |
| (847) 802-7162 |
| Full Name | Marietta P Abraham |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 10350 Haligus Rd, Huntley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376583658 | NPI | - | NPPES |
| 04532206 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036109708 (Illinois) | Primary |
| Entity Name | Premise Health Of Illinois Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta P Abraham, MD 13707 W Jackson St, Woodstock, IL 60098-3188 Ph: (815) 337-1871 | Marietta P Abraham, MD 10350 Haligus Rd, Huntley, IL 60142-9545 Ph: (815) 338-6600 |
Dr. Laura Haley Tommaso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste A, Huntley, IL 60142 Phone: 847-802-7500 Fax: 847-802-7162 | |
Dr. Anita N Szeto, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7203 | |
Dr. Pooja Srinivas Dewilde, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7203 | |
Lisa Djinis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200b, Huntley, IL 60142 Phone: 847-669-3880 Fax: 847-669-2980 | |
Faryal Khan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10350 Haligus Rd Ste 200b, Huntley, IL 60142 Phone: 847-669-3880 Fax: 847-669-2980 | |
Michelle Dianne Willis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12151 Regency Pkwy Ste 155, Huntley, IL 60142 Phone: 847-506-4400 |