Mutazz H Darweesh (NPI# 1205934395, PAC ID# 6901827716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205934395 |
| PAC ID by PECOS | 6901827716 |
| Professional Enrollment ID | I20051208000295 |
| Full Name | Mutazz H Darweesh |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
225 Edward St Sycamore IL 60178-2137 |
| Phone Number | 8158952144 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140048 | ADVOCATE TRINITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2544 W Montrose Ave, Chicago, IL 60618-1537 | 7732672622 | KND DEVELOPMENT 59 LLC |
| 12632 S Harlem Ave, Palos Heights, IL 60463-1428 | 7085870000 | UNITED ELITE HOSPITALISTS LLC |
| 225 Edward St, Sycamore, IL 60178-2137 | 8158952144 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
225 EDWARD ST |
| City | SYCAMORE |
| State | IL |
| Zip | 60178-2137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adel A Zayyad | Pulmonary Disease | Knd Development 59 LLC | 225 Edward St, Sycamore, IL 60178-2137 |
| Julie L Caley | Nurse Practitioner | Sycamore Medical Associates LLC | 225 Edward St, Sycamore, IL 60178-2137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Elaine Lawrence | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Kristin A Mock | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Ketan Morker | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Odolina Pope | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Mark A Drendel | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Heather Marvin | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Michael William Thornton | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Catherine A Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Cheri L Sprietler | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Find all physicians in zip 60178 | |||
| City | SYCAMORE |
| Zip Code | 60178 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SYCAMORE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mutazz H Darweesh.
| 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.