BAHAREH HASSANZADEH (NPI# 1528350303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528350303 |
| Entity Type | Individual |
| Full Name | BAHAREH HASSANZADEH |
| Gender | Female |
| Credential | M.D. |
| Practice Address | 200 E Pennsylvania Ave Peoria IL 61603-3089 |
| Practice Telephone | 3096244000 |
| Practice Fax Number | 3096244010 |
| Mailing Address | 200 E Pennsylvania Ave Peoria IL 61603-3089 |
| Mailing Telephone | 3096244000 |
| Mailing Fax Number | 3096244010 |
| Certification Date | 2021-01-15 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2021-01-15 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME119367 | FL | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X | Psychiatry & Neurology Specialization: Neurology | 036.138849 | IL | Allopathic & Osteopathic Physicians | |
| Y | 2084N0400X | Psychiatry & Neurology Specialization: Neurology | C159706 | CA | Allopathic & Osteopathic Physicians |
| PECOS Associate Control (PAC) ID | 8820214737 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20150827000223 |
| Last Name | HASSANZADEH |
| First Name | BAHAREH |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Location | 530 Neglen Oak Ave, Il Neurological Inst, Peoria, IL 61637-0001 |
| Phone Number | 8774646640 |
| Graduation Year | 2001 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 3678889789 |
| Number of Group Practice Members | 1214 |
| Street Address | 200 E PENNSYLVANIA AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901711 | James W Bauer | Internal Medicine | 200 E Pennsylvania Ave, Ste 105, Peoria, IL 61603-3045 | 2005-06-09 |
| 1588251318 | Michelle Lynn Crouch | Clinical Nurse Specialist · Gerontology | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2020-12-28 |
| 1205473154 | Gargi Dnyanesh Gupte | Physician Assistant | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2019-12-10 |
| 1487127734 | Stephanie S Beckstrom · Stephanie S Winslow | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2019-01-09 |
| 1174093009 | Katelyn M Johnson | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-12-04 |
| 1093298127 | Loan T Nguyen | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-09-14 |
| 1922580695 | Anna K Boyce | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-08-30 |
| 1033604855 | Caroline Marie Boczar | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-06-25 |
| 1831608991 | Laurel K Donaldson | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2017-09-21 |
| 1851818835 | Cynthia I Guede | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2017-08-29 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner · Family | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner · Acute Care | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing · Bonnie Lansing-Seaman | Counselor · Professional | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology · Diagnostic Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326244682 | Maria S. Parr | Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 | 2007-06-25 | |
| 1881815488 | Jacob Tony | 900 Main St Ste 250, Peoria, IL 61602-5006 | 2007-05-01 | |
| 1861473076 | Dennis Q Mcmanus | 8600 N Il-91, Suite 110, Peoria, IL 61615 | 2005-11-07 | |
| 1073503819 | Robert I(sa) Pfeffer | 3323 W Gloucester Ct, Peoria, IL 61615-2601 | 2005-10-24 | |
| 1558366856 | Asad Ehtisham | 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 | 2005-06-15 | |
| 1851994263 | Florence Regina Woods | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-11-18 | |
| 1700375854 | Maxwell Quincy Nyce | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2018-05-03 | |
| 1396145264 | Envi Pllc | 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 | 2014-08-28 | |
| 1134535693 | Elias Samaha | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-07-05 | |
| 1831504844 | Javad Alam | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-06-27 | |
| Find all providers in PEORIA | ||||
| City | PEORIA |
| Zip Code | 61603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295990869 | Bahareh Sabzehei · Bahareh Zyaei | Dentist · Periodontics | 515 State Road 436, Ste 1010, Casselberry, FL 32707-5341 | 2008-07-23 |
| 1871810473 | Bahareh Parisi · Bahareh Chagani | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2010-04-23 |
| 1144236936 | Bahareh Saidian · Bahareh Church | Social Worker | 2900 Bristol Street, Suite G 201, Costa Mesa, CA 92626 | 2006-07-31 |
| 1508284316 | Bahareh Behrooz Binesh · Bahareh Behrooz | Internal Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2014-03-31 |
| 1679729453 | Bahareh Bonyadi · Bahareh Bonyadi Dehdehbeglou | Psychiatry & Neurology · Neurology | 801 N Tustin Ave, Suite 200, Santa Ana, CA 92705-3612 | 2008-08-13 |
| 1295899060 | Bahareh Missaghi · Bahareh Missaghi Haghighat | Chiropractor | 124 N Vignes St, Los Angeles, CA 90012 | 2006-12-19 |
| 1760765440 | Ali Hassanzadeh | Pharmacist | 600 Myrtle Ave, Boonton, NJ 07005-1940 | 2011-09-20 |
| 1114417714 | Tania Hassanzadeh | Otolaryngology | 800 Washington St, Boston, MA 02111-1552 | 2018-05-18 |
| 1114012044 | Kambiz Hassanzadeh | Specialist | 115 Sw 36th Ct, Miami, FL 33135 | 2006-10-04 |
| 1003063900 | Barbara Hassanzadeh | Nurse Practitioner | 7101 Sw 99th Ave, Ste 108, Miami, FL 33173 | 2008-08-21 |
Please provide details on BAHAREH HASSANZADEH by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.