| Samer Rodwan Rajjoub, MD | |
|
12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463-1256 | |
| (708) 923-4400 | |
| (708) 923-4421 |
| Full Name | Samer Rodwan Rajjoub |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 12251 S 80th Ave, Palos Heights, 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 |
|---|---|---|---|
| 1891920120 | NPI | - | NPPES |
| 036137162 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036.098470 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palos Community Hospital | Palos heights, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Insight Chicago Inc | 2860894706 | 137 |
| Gibson Community Hospital Association | 5092703124 | 109 |
| Central Dupage Physician Group | 5890696231 | 1005 |
| 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 | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| Entity Name | Insight Chicago Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881261006 PECOS PAC ID: 2860894706 Enrollment ID: O20210714002059 |
| Mailing Address | Practice Location Address |
|---|---|
| Samer Rodwan Rajjoub, MD 12251 S 80th Ave Ste 204, Palos Heights, IL 60463-1290 Ph: (708) 923-4400 | Samer Rodwan Rajjoub, MD 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463-1256 Ph: (708) 923-4400 |
Franjo Siric, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4448 | |
Nandan Nath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Dr. Gabriel Abraham Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Dr. Imad Qayyum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12255 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 | |
Ijaz Qayyum, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463 Phone: 708-923-4400 Fax: 708-923-4421 |