Rasha William Atallah, M.D.
Individual provider Active NPI Family Medicine Physician · Burbank, IL
NPI 1750768685 · NPPES record last updated Apr 4, 2019
Key facts
- NPI
- 1750768685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036144531 (IL)
- Practice address
- 4901 W 79TH St Ste 10
Burbank, IL 60459-1554 - Phone
- (708) 422-7100
- NPI assigned
- Apr 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Home Health
- Osf Little Company of Mary Medical Center
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 |
|---|---|---|---|---|
| I20180618001618 | IL | Practitioner - Family Practice | 6204135270 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144531 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Company of Mary Affiliated Services Inc | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Ottawa Regional Medical Center Inc. | Family Medicine | Past | Accepting new patients |
| Saint Anthony Medical Center | Family Medicine | Past | Accepting new patients |
Locations
4901 W 79th St
Ste 10
Burbank, IL 60459
Phone (708) 422-7100
4901 W 79th St
Burbank, IL 60459
Phone (708) 425-9321
7945 S Harlem Ave
Burbank, IL 60459
Phone (708) 422-7100
2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200
5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273
12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036144531 | IL | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125067774 | IL |
Addresses
Primary practice location
4901 W 79TH St Ste 10
Burbank, IL 60459-1554
Mailing address
4901 W 79TH St Ste 10
Burbank, IL 60459-1554
Phone (708) 422-7100
Other practice location 1
1431 N Western Ave Ste 406
Chicago, IL 60622-1774
Phone (312) 633-5841
Other providers in Burbank, IL
- Alexis Alina Alzona
- American Drug Stores LLC
- Mutaz Amine
- Tijana Antonic
- Melinda Antoskiewicz
- Jean Athappilly
- Atlas Dental Corp
- Salhab Awadallah
- Tesneim Awadallah
- Lila Ayyad-Alharsha
All providers in Burbank, IL · Family Medicine 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 Apr 4, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.