Claudine Gillison, | |
2532 Farragut Dr, Springfield, IL 62704-1433 | |
(217) 528-7541 | |
Not Available |
Full Name | Claudine Gillison |
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Gender | Female |
Speciality | Pediatrics |
Location | 2532 Farragut Dr, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013126317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD431115 (Pennsylvania) | Primary |
Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
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Claudine Gillison, 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Claudine Gillison, 2532 Farragut Dr, Springfield, IL 62704-1433 Ph: (217) 528-7541 |
Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392 | |
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654 | |
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
Tracy P Milbrandt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-4238 Fax: 217-545-2303 |