| Razan Dafalla, MD | |
|
1425 N Randall Rd, Elgin, IL 60123-2300 | |
| (224) 783-5437 | |
| (224) 783-2811 |
| Full Name | Razan Dafalla |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1425 N Randall Rd, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609221654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-153718 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036153718 (Illinois) | Primary |
| 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 | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Razan Dafalla, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Razan Dafalla, MD 1425 N Randall Rd, Elgin, IL 60123-2300 Ph: (224) 783-5437 |
Dr. Qaynat S Mithani, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd Ste 2-1200, Elgin, IL 60123 Phone: 847-742-9800 Fax: 224-783-2527 |