MEDICARE: DR. DAVID Y. BADAWI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	036102073	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00061004	OTHER	IL	RETIRED RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1633328	OTHER	IL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033133996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID Y. BADAWI M.D.

Provider Business Mailing Address
First Line	:	3030 SALT CREEK LANE
Second Line	:	SUITE 300
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5003
Country	:	US
Telephone Number	:	847-978-4535
Fax Number	:	847-960-5378

Provider Business Practice Location Address
First Line	:	3030 SALT CREEK LANE
Second Line	:	SUITE 300
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5003
Country	:	US
Telephone Number	:	847-978-4535
Fax Number	:	847-960-5378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	05/14/2021

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Directions to “ DR. DAVID Y. BADAWI M.D.” Practice Location

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