| Mohammed Badaruddin, | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (312) 609-0300 | |
| (773) 213-0378 |
| Full Name | Mohammed Badaruddin |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 6 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, 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 |
|---|---|---|---|
| 1447991898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036175184 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036175184 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Ingalls Memorial Hospital | Harvey, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 3081 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Badaruddin, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Mohammed Badaruddin, 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (312) 609-0300 |
Arslan T Chaudhry, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-3580 |
Omar Abbasi, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 |