| Richard L Dahl, PA | |
|
2615 Harrison St, Bellwood, IL 60104-2450 | |
| (708) 493-0199 | |
| (708) 493-9683 |
| Full Name | Richard L Dahl |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2615 Harrison St, Bellwood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285964700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085003585 (Illinois) | Primary |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Amer I Alhussaini MD SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124402466 PECOS PAC ID: 9638484553 Enrollment ID: O20150820010886 |
| Entity Name | Urgent Medical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699397729 PECOS PAC ID: 8426474941 Enrollment ID: O20200814001017 |
| Entity Name | Primary Health Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053933184 PECOS PAC ID: 2365868726 Enrollment ID: O20200814002236 |
| Entity Name | Foster Health PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598645541 PECOS PAC ID: 4082103155 Enrollment ID: O20251029001785 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Dahl, PA 2615 Harrison St, Bellwood, IL 60104-2450 Ph: (708) 493-0199 | Richard L Dahl, PA 2615 Harrison St, Bellwood, IL 60104-2450 Ph: (708) 493-0199 |
Mr. Brian B Minardi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2615 Harrison St, Bellwood, IL 60104 Phone: 708-493-0299 Fax: 708-493-0594 |
Marissa Wuilliez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4009 Warren Ave, Bellwood, IL 60104 Phone: 708-343-8960 |
Rachel Lynne Baugues, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2615 Harrison St, Bellwood, IL 60104 Phone: 708-493-0299 |
Alvina Shaikh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4009 Warren Ave, Bellwood, IL 60104 Phone: 708-343-1300 |
Brandon C John, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 456 25th Ave, Bellwood, IL 60104 Phone: 708-467-7254 |