Abraham Fallah (NPI# 1962436378, PAC ID# 0840378790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1962436378 |
| PAC ID by PECOS | 0840378790 |
| Professional Enrollment ID | I20110112000542 |
| Full Name | Abraham Fallah |
| Organization Legal Name | SOUTH SUBURBAN GASTROENTEROLOGY, S.C. |
| Address |
17901 Governors Hwy 106 Homewood IL 60430-1145 |
| Phone Number | 7087993305 |
| Gender | M |
| Graduation Year | 1967 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941388896 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17901 Governors Hwy 106, Homewood, IL 60430-1145 | 7087993305 | SOUTH SUBURBAN GASTROENTEROLOGY, S.C. |
| Organization Legal Name | SOUTH SUBURBAN GASTROENTEROLOGY, S.C. |
| Physicians | 1 |
| Street Address |
17901 GOVERNORS HWY 106 |
| City | HOMEWOOD |
| State | IL |
| Zip | 60430-1145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Agnieszka Boruc | Nurse Practitioner | Komprehensive Primary Care Sports and Musculoskeletal Medicine S.c. | 18350 S Kedzie, Suite 100, Homewood, IL 60430 |
| Biren P Shah | Obstetrics/gynecology | Womens Healthcare Associates of Il, Sc | 17901 Governors Hwy, Homewood, IL 60430-1144 |
| Anjali Thukral | Obstetrics/gynecology | Womens Healthcare Associates of Il, Sc | 17901 Governors Hwy, Homewood, IL 60430-1144 |
| Darren Ballard | Gastroenterology | Gi Partners of Illinois LLC | 17901 Governors Hwy, Suite 106, Homewood, IL 60430-1145 |
| Morgan W Zellers | Podiatry | Foot and Ankle Pain Clinic Corporation | 17901 Governors Hwy 205, Homewood, IL 60430-1146 |
| Ram K Gopi | Internal Medicine | 17901 Governors Hwy, Suite 207, Homewood, IL 60430-1146 | |
| M Mufaddal Hamadeh | Hematology/oncology | Alpha Med Physicians Group LLC | 17901 Governors Hwy 208, Homewood, IL 60430-1146 |
| Rakesh N Parikh | Family Medicine | 17901 Governors Hwy 207a, Homewood, IL 60430-1146 | |
| George Varghese | Nurse Practitioner | Chicagoland Infectious Disease PC | 17901 Governors Hwy, Suite 206, Homewood, IL 60430-1146 |
| Krystal Poindexter | Nurse Practitioner | Chicagoland Infectious Disease PC | 17901 Governors Hwy, Suite 206, Homewood, IL 60430-1146 |
| Find all physicians in zip 60430 | |||
| City | HOMEWOOD |
| Zip Code | 60430 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | HOMEWOOD + GASTROENTEROLOGY |
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| 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.