| Dr Selma Hannoun, OD | |
|
7050 S Cicero Ave, Bedford Park, IL 60638-6402 | |
| (708) 496-0680 | |
| Not Available |
| Full Name | Dr Selma Hannoun |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 7050 S Cicero Ave, Bedford Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508053224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1537 (Arizona) | Secondary |
| 152W00000X | Optometrist | 5312 (Massachusetts) | Primary |
| 152W00000X | Optometrist | 046009734 (Illinois) | Secondary |
| Provider Name | Dr Jorge A Benavente Optometrist Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063740744 PECOS PAC ID: 2860533742 Enrollment ID: O20100114000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Selma Hannoun, OD 81 Beacon St, Arlington, MA 02474-3304 Ph: (708) 541-9978 | Dr Selma Hannoun, OD 7050 S Cicero Ave, Bedford Park, IL 60638-6402 Ph: (708) 496-0680 |
Dr. Reeham Tineh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7456 S State Rd Ste 302, Bedford Park, IL 60638 Phone: 773-873-0052 | |
Robert Gehrke Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 S Cicero Ave, Bedford Park, IL 60638 Phone: 708-496-0680 | |
Dr. Robert R Gehrke, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 S Cicero Ave, Bedford Park, IL 60638 Phone: 708-496-0680 Fax: 708-496-0716 |