| Mohammed Ismail, | |
|
3001 Green Bay Rd, North Chicago, IL 60064-3048 | |
| (847) 688-1900 | |
| Not Available |
| Full Name | Mohammed Ismail |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3001 Green Bay Rd, North Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679140032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125.078590 (Illinois) | Primary |
| Entity Name | Riveredge Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710070701 PECOS PAC ID: 3870401268 Enrollment ID: O20061218000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Ismail, 2930 N Commonwealth Ave Apt 209, Chicago, IL 60657-6219 Ph: (563) 508-5993 | Mohammed Ismail, 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (847) 688-1900 |
Anatoliy Pyslar, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 847-578-3000 | |
Neelpreet Toor, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Brandon Fleres, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Semyon Shulman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 Fax: 847-610-2940 | |
Jeremy Wolfe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Deepa Nadella, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Lynn Marie Malanfant, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 815-759-2306 Fax: 224-610-3885 |