Dr Jennifer Marie Deluka, MD | |
600 N Main St, Taylorville, IL 62568-1668 | |
(217) 287-8855 | |
Not Available |
Full Name | Dr Jennifer Marie Deluka |
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Gender | Female |
Speciality | Pediatrics |
Location | 600 N Main St, Taylorville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740591619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036132596 (Illinois) | 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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Dr Jennifer Marie Deluka, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Dr Jennifer Marie Deluka, MD 600 N Main St, Taylorville, IL 62568-1668 Ph: (217) 287-8855 |
Roger S. Mcclintock, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-287-8855 | |
Yaser B. Freij, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N. Main, Taylorville, IL 62568 Phone: 217-287-8855 | |
Dr. Lynn Marie Kink, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541 |