DR. REWA MAHMOUD HASANAT


Address: 6703 159th St, Suite 103, Tinley Park, IL 60477-1781
Phone: 7083423000

DR. REWA MAHMOUD HASANAT (NPI# 1457582926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457582926
Entity Type Individual
Full Name DR. REWA MAHMOUD HASANAT
Credential M.D.
Practice Address 6703 159th St
Suite 103
Tinley Park
IL 60477-1781
Mailing Address 27702 Network Pl
Chicago
IL 60673-1277
Practice Telephone 7083423000
Practice Fax Number 7083423060
Mailing Telephone 7088627674
Mailing Fax Number 7088621781
Enumeration Date 2009-08-01
Last Update Date 2018-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036131285 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE 231199026 01
IL RRM P01148828 01
IL 036131285 05

Office Location

Street Address 6703 159TH ST
SUITE 103
City TINLEY PARK
State IL
Zip Code 60477-1781

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992704100 Chaden Sbai Internal Medicine 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 2005-07-19
1295965861 Bushraah Medical Services Sc Internal Medicine 6703 159th St, Tinley Park, IL 60477-1781 2009-07-17
1407098544 William Panje Md Sc Otolaryngology 6703 159th St, Tinley Park, IL 60477-1781 2009-04-06
1275713984 Chaden Sbai Md Sc Internal Medicine 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 2007-11-09
1447474283 Phillip T Nigro Orthopaedic Surgery 6703 159th St, Suite 109, Tinley Park, IL 60477-1781 2007-04-12
1861415747 Kavitha Bathala Family Medicine 6703 159th St, Suite 110, Tinley Park, IL 60477-1781 2006-07-25
1710931555 Endocrine Care LLC Internal Medicine 6703 159th St, Suite 107, Tinley Park, IL 60477-1781 2006-05-19
1134119001 Ibrahim Md Sc Internal Medicine 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 2005-10-24
1346230232 Tinley Park Pediatric Associates Sc Pediatrics 6703 159th St, Suite 115, Tinley Park, IL 60477-1781 2005-10-24
1558361956 Denice D Cook Pediatrics 6703 159th St, Suite 115, Tinley Park, IL 60477-1781 2005-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013522366 Joshua Gruenke Physical Therapist 17129 S. Harlem Avenue, Tinley Park, IL 60477 2020-09-14
1881229656 Sherrie Lynn Tsang Massage Therapist 7925 West 171st Street, Tinley Park, IL 60477 2020-03-11
1437782117 Du Page Medical Group Ltd Durable Medical Equipment & Medical Supplies 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 2020-02-20
1356998561 Rasa Vaskeviciute Physical Therapist 17129 So Harlem, Tinley Park, IL 60477 2019-08-22
1538728258 Michelle Anne Wisen Physical Therapy Assistant 17129 South Harlem, Suite B3, Tinley Park, IL 60477 2019-06-06
1073006151 Danielle Lyon Counselor 6801 West 180th Court, Tinley Park, IL 60477 2018-06-13
1316445794 Yvonne Tran Physical Therapist 17129 S Harlem Ave, Tinley Park, IL 60477 2018-01-31
1326574591 Nicholas Barker Chronic Disease Hospital 7859 Joliet Drive North, Tinley Park, IL 60477 2017-05-10
1982063632 Nicole Kristine Demarco Specialist/Technologist 16317 Clark Ln, Tinley Park, IL 60477 2016-02-22
1376900571 Ucp Seguin Greater Chicago Foster Care Agency 7550 W. 183rd, Tinley Park, IL 60477 2016-01-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073991345 Yifei Du Family Medicine 16650 Harlem Ave Ste 6, Tinley Park, IL 60477-1847 2015-05-07
1669762639 Midway Disc and Spine Center II Ltd Family Medicine 16650 S. Harlem, Suite 4, Tinley Park, IL 60477 2011-04-12
1316008329 Sheldon Allen Levine Family Medicine 16750 S 80th Ave, Suite B, Tinley Park, IL 60477-3173 2006-12-13
1871698860 Maurice J Halpin Family Medicine 16641 Ridgeland Ave, Tinley Park, IL 60477-1869 2006-09-14
1013926625 Rd Woods Md LLC Family Medicine 6800 Centennial Dr, Suite D, Tinley Park, IL 60477-1608 2006-08-05
1588616296 Saleem Shahzad Family Medicine 16650 Harlem Ave Ste 1, Tinley Park, IL 60477-1847 2006-05-17
1528023736 Anand Y Talcherkar Family Medicine 8051 W 186th St, Tinley Park, IL 60487 2006-04-19
1619944857 Kimberly Middleton Family Medicine 17859 80th Ave, Tinley Park, IL 60477-5023 2006-03-07
1184626673 Scott R Lowry Family Medicine 9501 171st St Ste Q, Tinley Park, IL 60487 2005-08-15
1275539009 Amin Yassin Family Medicine 16750 South 80th Ave, Tinley Park, IL 60477 2005-06-27
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Competitor

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City TINLEY PARK
Zip Code 60477

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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