| Samir Bhalla, MD | |
|
4415 Harrison St Ste 300, Hillside, IL 60162-1953 | |
| (630) 988-0152 | |
| (708) 632-5602 |
| Full Name | Samir Bhalla |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 4415 Harrison St Ste 300, Hillside, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922365170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036138458 (Illinois) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036138458 (Illinois) | Primary |
| Entity Name | Bhallamd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710434964 PECOS PAC ID: 5890082572 Enrollment ID: O20160923000186 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Samir Bhalla, MD 4415 Harrison St Ste 300, Hillside, IL 60162-1953 Ph: (708) 632-5600 | Samir Bhalla, MD 4415 Harrison St Ste 300, Hillside, IL 60162-1953 Ph: (630) 988-0152 |
Mr. Wagih Nessim, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4413 Roosevelt Rd, #101, Hillside, IL 60162 Phone: 708-449-2648 Fax: 708-449-2683 | |
Mrs. Magdoleen Nessim, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4413 W Roosvelt Rd, 101, Hillside, IL 60162 Phone: 708-449-2648 Fax: 708-449-2683 | |
Dr. Sayeeda Yasmin, M.D Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: Renaissance At Hillside, Hillside, IL 60162 Phone: 708-544-9933 |