Razan Dafalla, MD - Medicare Pediatrics in Park Ridge, IL

Razan Dafalla, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Park Ridge, Illinois. Her current practice location is 1675 Dempster St, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 723-9330.

Razan Dafalla is licensed to practice in Illinois (license number 036153718) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609221654.

Contact Information

Razan Dafalla, MD
1675 Dempster St,
Park Ridge, IL 60068-1110
(847) 723-9330
(847) 723-9441



Physician's Profile

Full NameRazan Dafalla
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1675 Dempster St, Park Ridge, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609221654
  • Provider Enumeration Date: 04/27/2016
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567743701
  • Enrollment ID: I20220830000759

Medical Identifiers

Medical identifiers for Razan Dafalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609221654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036153718 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 036153718 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Razan Dafalla allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Razan Dafalla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Razan Dafalla, MD
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900
Razan Dafalla, MD
1675 Dempster St,
Park Ridge, IL 60068-1110

Ph: (847) 723-9330

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› Verified 6 days ago


Pediatrics Doctors in Park Ridge, IL

Dr. Nour Akhras, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, Park Ridge, IL 60068
Phone: 847-318-9300    Fax: 847-723-9583
Dr. Jurat Singh Rajpal, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, Second Floor, Park Ridge, IL 60068
Phone: 847-318-9330    
Dr. Christopher M Jamerson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1675 Dempster St, Yacktman Pavilion, Park Ridge, IL 60068
Phone: 847-723-9557    
Susan Michele Unfer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, Park Ridge, IL 60068
Phone: 847-318-9300    Fax: 847-723-9566
Dr. William Richard Goodell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, 2nd Floor, Park Ridge, IL 60068
Phone: 847-723-9400    Fax: 847-723-8523
Dr. Duane David Stich, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1775 Dempster St, Dept. Of Neonatology 2 South, Park Ridge, IL 60068
Phone: 847-723-5313    Fax: 847-723-2338
Dr. Brian Garrett Money, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-5986    

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