Dr Anitha Nimmagadda, MD | |
1025 Maine St, Quincy, IL 62301-4038 | |
(217) 222-6550 | |
Not Available |
Full Name | Dr Anitha Nimmagadda |
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Gender | Female |
Speciality | Neurological Surgery |
Location | 1025 Maine St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558686964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 036123612 (Illinois) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | 036-123612 (Illinois) | Secondary |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Cook County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Entity Name | Midwest Express Care 2 Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
Mailing Address | Practice Location Address |
---|---|
Dr Anitha Nimmagadda, MD 835 S Wolcott Avenue, Chicago, IL 60612 Ph: (312) 413-0369 | Dr Anitha Nimmagadda, MD 1025 Maine St, Quincy, IL 62301-4038 Ph: (217) 222-6550 |
Reuben P Morris, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Arden F Reynolds, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Ryan Patrick Brennan, M.D Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4800 Maine St, Quincy, IL 62305 Phone: 217-214-9620 Fax: 217-214-5678 |