| Nadir Mallick, MD | |
|
20180 S Lagrange Rd, Frankfort, IL 60423-3153 | |
| (815) 464-2010 | |
| (815) 464-2181 |
| Full Name | Nadir Mallick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 20180 S Lagrange Rd, Frankfort, 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 |
|---|---|---|---|
| 1386930428 | NPI | - | NPPES |
| F400183639 | Other | IL | MEDICARE PTAN |
| 036136607 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301099249 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4301099249 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Lake Immediate Care Physicians Ltd. | 2961783139 | 17 |
| Entity Name | Tri-county Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700810470 PECOS PAC ID: 2567412240 Enrollment ID: O20050131000438 |
| Entity Name | Crystal Lake Immediate Care Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517198 PECOS PAC ID: 2961783139 Enrollment ID: O20161229001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Nadir Mallick, MD 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7241 Ph: (317) 528-4800 | Nadir Mallick, MD 20180 S Lagrange Rd, Frankfort, IL 60423-3153 Ph: (815) 464-2010 |
Dr. Niby Mathew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23120 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-464-5440 | |
Samantha Jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21160 S La Grange Rd, Frankfort, IL 60423 Phone: 815-469-8806 | |
Tahreer Shatat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23120 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-464-5440 Fax: 815-936-5404 | |
Cameron S Karnish, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 21160 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-469-8806 Fax: 815-469-5739 | |
Eric Linden Lee Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19552 S Harlem Ave, Building D, Frankfort, IL 60423 Phone: 815-469-3452 | |
Dr. Rosario Teano De Castro, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 558 Aberdeen Rd, Frankfort, IL 60423 Phone: 815-469-2611 Fax: 815-469-2611 |