ABRAHAM FALLAH (NPI# 1962436378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962436378 |
| Entity Type | Individual |
| Full Name | ABRAHAM FALLAH |
| Credential | M.D. |
| Practice Address |
17901 Governors Hwy Suite 208 Homewood IL 60430-1144 |
| Practice Telephone | 7087993305 |
| Practice Fax Number | 7087997220 |
| Mailing Telephone | 7087993305 |
| Mailing Fax Number | 7087997220 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036051101 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036051101 | 05 |
| Street Address |
17901 GOVERNORS HWY SUITE 208 |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280114 | Biren P Shah | Obstetrics & Gynecology | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2005-07-28 |
| 1477095321 | Krystal Poindexter | Nurse Practitioner | 17901 Governors Hwy, Suite 201, Homewood, IL 60430-1144 | 2016-11-09 |
| 1043683394 | Kurani Med Inc | Family Medicine | 17901 Governors Hwy, Suite 207a, Homewood, IL 60430-1144 | 2015-11-09 |
| 1720454713 | Hilda A Salgado | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-08-13 |
| 1609259126 | Rao Uppuuluri, M.d.s.c. | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-07-01 |
| 1497176622 | Elizabeth Kurnat | Nurse Practitioner | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2013-12-13 |
| 1467883306 | Indrajit J Patel Md | Internal Medicine | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2013-12-03 |
| 1609204726 | Edward M. Ruiz Dds PC | Dentist | 17901 Governors Hwy, Suite 201a, Homewood, IL 60430-1144 | 2013-10-29 |
| 1255671194 | Drugstore Max | Pharmacy | 17901 Governors Hwy, 100, Homewood, IL 60430-1144 | 2013-02-28 |
| 1790928893 | Alpha Med Physicians Group, LLC | Internal Medicine | 17901 Governors Hwy, Suite 106, Homewood, IL 60430-1144 | 2009-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467652560 | Darren Ballard | Internal Medicine | 17901 Governors Hwy Ste 106, Homewood, IL 60430-1145 | 2007-07-18 |
| 1790928893 | Alpha Med Physicians Group, LLC | Internal Medicine | 17901 Governors Hwy, Suite 106, Homewood, IL 60430-1144 | 2009-04-20 |
| 1417167040 | South Suburban Gastroenterology, S.c. | Internal Medicine | 17901 Governors Hwy, Suite 106, Homewood, IL 60430-1144 | 2007-05-23 |
| 1467484410 | Matthew L Horowitz | Internal Medicine | 17901 Governors Hwy, Suite 208, Homewood, IL 60430-1144 | 2006-07-07 |
| 1255362000 | Robert C Kaiser | Internal Medicine | 17901 Governors Hwy, Suite 208, Homewood, IL 60430-1144 | 2006-07-06 |
| 1477583532 | Shiban K Ganju | Internal Medicine | 17901 Governors Hwy, Suite 208, Homewood, IL 60430-1144 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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| 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.