Milan Medical Group, Ltd | |
1929 10th Ave E, Milan, IL 61264-2953 | |
(309) 787-2600 | |
(309) 787-2643 |
Full Name | Milan Medical Group, Ltd |
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Type | Facility |
Speciality | General Practice |
Location | 1929 10th Ave E, Milan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346362589 | NPI | - | NPPES |
209030400 | Other | IL | DEPARTMENT OF LABOR ID |
8132027 | Other | IL | BLUE SHIELD FACILITY ID |
Provider Name | Susan E Alden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629079280 PECOS PAC ID: 9335182468 Enrollment ID: I20051006000749 |
Provider Name | Raymond A Burge |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356340533 PECOS PAC ID: 9931091543 Enrollment ID: I20060301000557 |
Provider Name | James E Petre |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619973989 PECOS PAC ID: 2668477290 Enrollment ID: I20061003000456 |
Provider Name | Martha F Thornton |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942219639 PECOS PAC ID: 4981600608 Enrollment ID: I20061019000413 |
Provider Name | Nancy C Lank |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1356317127 PECOS PAC ID: 7416955109 Enrollment ID: I20061113000125 |
Provider Name | Jeramy D Blackwood |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174852016 PECOS PAC ID: 9931381738 Enrollment ID: I20110316000240 |
Provider Name | Ashley E Ebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346638806 PECOS PAC ID: 0749509800 Enrollment ID: I20150512001715 |
Provider Name | Jennifer Hook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033662044 PECOS PAC ID: 8729367008 Enrollment ID: I20161109000047 |
Provider Name | Sadegh Milad Asefi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144609488 PECOS PAC ID: 3375891591 Enrollment ID: I20180804000114 |
Provider Name | Nicholas Ryan Petre |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699269308 PECOS PAC ID: 6709136625 Enrollment ID: I20210726000217 |
Provider Name | Elsa Durr-baxter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952885865 PECOS PAC ID: 5496099137 Enrollment ID: I20231110001027 |
Mailing Address | Practice Location Address |
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Milan Medical Group, Ltd 1929 10th Ave E, Milan, IL 61264-2953 Ph: (309) 787-2600 | Milan Medical Group, Ltd 1929 10th Ave E, Milan, IL 61264-2953 Ph: (309) 787-2600 |