Diane Maged Abdel-Barry, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Chicago, IL
NPI 1508205808 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1508205808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036144749 (IL)
- Practice address
- 47 W Polk St Ste G1
Chicago, IL 60605-2083 - Phone
- (312) 567-6700
- Fax
- (312) 922-5860
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180214001317 | IL | Practitioner - Obstetrics/Gynecology | 7214297167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144749 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Illinois SC | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Obstetrics & Gynecology Physician | 207V00000X | 036144749 | IL | Yes |
Addresses
Primary practice location
47 W Polk St Ste G1
Chicago, IL 60605-2083
Mailing address
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (312) 567-2000
Other practice location 1
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (312) 567-2000
Other providers in Chicago, IL
- Nada Abdallah
- Sarah Barbara Abdallah
- Wisam Abdallah
- Heba Abdel Latief
- Aiah Abdel-Aal
- Sarah Abdel-Hadi
- Yasmeen Abdelaal
- Sara Mergani Ahmed Abdelaziz
- Ahmed Abdelfattah
- Khaled Abdelhady
All providers in Chicago, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.