Dr David R Knox, MD | |
2512 Hurst Dr., Mattoon, IL 61938-2500 | |
(217) 258-5900 | |
(217) 258-5904 |
Full Name | Dr David R Knox |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 2512 Hurst Dr., Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033222625 | NPI | - | NPPES |
036100522 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 036100522 (Illinois) | Primary |
Entity Name | Hoopeston Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
Entity Name | Richland Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Dr David R Knox, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Dr David R Knox, MD 2512 Hurst Dr., Mattoon, IL 61938-2500 Ph: (217) 258-5900 |
Roza Ioffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Rachel T Lape, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Richmond Ave E Ste 4, Mattoon, IL 61938 Phone: 217-238-5345 Fax: 217-238-5348 | |
Mrs. Amy J Leifheit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Dr. Nafees Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 | |
Ivan T. Snowden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Drive, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Kiran Kumar Yelakanti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-7590 Fax: 217-258-3686 |