BAHAREH HASSANZADEH
Ophthalmology

Address: 200 E Pennsylvania Ave, Peoria, IL 61603-3089

BAHAREH HASSANZADEH (NPI# 1528350303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Physician Overview

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

Office Location

Street Address 200 E PENNSYLVANIA AVE
City PEORIA
State IL
Zip Code 61603-3089

Providers in the same location

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

Providers in the same zip code prefix

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 Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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Dataset Information

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.