| Sumar Abushaqra, | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (708) 213-4200 | |
| Not Available |
| Full Name | Sumar Abushaqra |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023488475 | NPI | - | NPPES |
| 1002666833 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.013305 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 14723-033 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| 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 | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sumar Abushaqra, 29373 Network Pl, Chicago, IL 60673-3172 Ph: (847) 390-5900 | Sumar Abushaqra, 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-4200 |
Eziaha R Georgewill, APRN-BC, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave # A, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
Tawakalitu Afolashade Babawale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3710 Village Dr, Hazel Crest, IL 60429 Phone: 773-719-0070 | |
Sharyl L Sadowski, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
Ms. Rachel Cheeks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 | |
Andrea Pawlak, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Naila A O'connell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 |