Mallory Rahar (NPI# 1780125278, PAC ID# 0042596116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780125278 |
| PAC ID by PECOS | 0042596116 |
| Professional Enrollment ID | I20170404002844 |
| Full Name | Mallory Rahar |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Address |
113 E Seiberling St Blue Mound IL 62513-9532 |
| Phone Number | 2173219310 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092857821 |
| Number of Group Practice Members | 358 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141339 | TAYLORVILLE MEMORIAL HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| 141341 | PANA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 113 E Seiberling St, Blue Mound, IL 62513-9532 | 2173219310 | HSHS MEDICAL GROUP INC |
| 845s Route 51, Forsyth, IL 62535-9759 | 2178720953 | HSHS MEDICAL GROUP INC |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Pulliam | Nurse Practitioner | Hshs Medical Group Inc | 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Justin Bradley Hill | Family Medicine | Hshs Medical Group Inc | 1116 Hartman Ln, Shiloh, IL 62221-8014 |
| Sahar Yazdani | Family Medicine | Hshs Medical Group Inc | 125 E Plummer Blvd, Chatham, IL 62629-8047 |
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Melissa Kay Edwards | Nurse Practitioner | Hshs Medical Group Inc | 2965 N Main St E, Hshs Medical Group Internal Medicine N Decatur, Decatur, IL 62526-4392 |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Mohammed Iyoob Mohammed Ilyas | General Surgery | Hshs Medical Group Inc | 904 Medical Park Dr, Effingham, IL 62401-2193 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Street Address |
113 E SEIBERLING ST |
| City | BLUE MOUND |
| State | IL |
| Zip | 62513-9532 |
| City | BLUE MOUND |
| Zip Code | 62513 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLUE MOUND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mallory Rahar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.