| Rafiya Hameeduddin, DO | |
|
2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | |
| (847) 570-1010 | |
| (847) 733-5108 |
| Full Name | Rafiya Hameeduddin |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 2650 Ridge Ave., Evanston, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245379320 | NPI | - | NPPES |
| 363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| 036091808 | Medicaid | IL | |
| 0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
| 036091808 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036091808 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036091808 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delnor Community Hospital | Geneva, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| 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 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafiya Hameeduddin, DO 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Ph: (847) 570-1010 | Rafiya Hameeduddin, DO 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Ph: (847) 570-1010 |
Tae Yeon Kim, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Pediatric Hospitalists, Evanston, IL 60201 Phone: 847-570-1027 Fax: 847-733-5108 | |
Amisha Patel, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Danijela Dokic, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Dr. Eric Charles Molloy, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Hospitalist Department, Evanston, IL 60201 Phone: 847-570-2000 | |
Byung Hun Hyun, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010 | |
Jamie Titen, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2509 |