Amira Al-basha (NPI# 1871063776, PAC ID# 2668804162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871063776 |
| PAC ID by PECOS | 2668804162 |
| Professional Enrollment ID | I20191122000093 |
| Full Name | Amira Al-basha |
| Organization Legal Name | EDGEBROOK DERMATOLOGY P.C. |
| Address |
1639 N Alpine Rd Suite 380 Rockford IL 61107-1440 |
| Phone Number | 8152299333 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3476650060 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 | 8152299333 | EDGEBROOK DERMATOLOGY P.C. |
| Organization Legal Name | EDGEBROOK DERMATOLOGY P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Street Address |
1639 N ALPINE RD SUITE 380 |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-1440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Lauran Elisabeth Wendt | Nurse Practitioner | Rockford Psychiatric Medical Services Sc | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1481 |
| Colette M Carter | Nurse Practitioner | Rockford Psychiatric Medical Services Sc | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1481 |
| Joseph T Fanara | Podiatry | 1639 N Alpine Rd, Suite 400, Rockford, IL 61107-1449 | |
| Peggy M Derango | Clinical Social Worker | Ann James Counseling LLC | 1639 N Alpine Rd, Suite 204, Rockford, IL 61107-1481 |
| Wendy R Seerup | Clinical Social Worker | Rockford Psychiatric Medical Services Sc | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1481 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Ann Ck James | Clinical Social Worker | Ann James Counseling LLC | 1639 N Alpine Rd, Suite 204, Rockford, IL 61107-1481 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Rebekah D Meyers | Physical Therapy | Edgebrook Physical Therapy, Inc. | 1643 N Alpine Rd, Rockford, IL 61107-1462 |
| Cody C Lindsey | Physical Therapy | Edgebrook Physical Therapy, Inc. | 1643 N Alpine Rd, Rockford, IL 61107-1462 |
| Sarah R Moore | Physical Therapy | Edgebrook Physical Therapy, Inc. | 1643 N Alpine Rd, Rockford, IL 61107-1462 |
| Adewumi C Odefadehan | Nurse Practitioner | Rockford Psychiatric Medical Services Sc | 1639 N Alpine, Suite 260, Rockford, IL 61107-1481 |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROCKFORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amira Al-basha.
| 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.