| Roger Haab, MD | |
|
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
| (815) 758-8671 | |
| Not Available |
| Full Name | Roger Haab |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1850 Gateway Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386653517 | NPI | - | NPPES |
| 036079768 | Medicaid | IL | |
| 008454 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-079768 (Illinois) | Primary |
| Entity Name | Kishwaukee Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Haab, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | Roger Haab, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
Dr. Paul H Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 Hauser Ross Drive, Suite 325, Sycamore, IL 60178 Phone: 815-758-7700 | |
Dr. Mohammad Taghi Takhtehchian, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 Edward St, Sycamore, IL 60178 Phone: 815-895-2144 | |
Mujahid Mohammad Hussain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-756-1521 | |
Ms. Maria Caridad Aguilera Astudillo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 Gateway Dr Ste 205, Sycamore, IL 60178 Phone: 815-754-1097 Fax: 815-748-8957 | |
Dr. Jacob Stephen, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 630-232-0280 Fax: 630-232-3895 | |
Periakaruppan Ramanathan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2535 Bethany Road, #110, Sycamore, IL 60178 Phone: 815-756-1434 Fax: 815-756-4776 | |
Dr. Amulya Reddy, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1830 Mediterranean Dr, Sycamore, IL 60178 Phone: 815-766-3873 Fax: 815-766-7713 |