Dr John S Marshall, MD | |
1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | |
(309) 495-0200 | |
Not Available |
Full Name | Dr John S Marshall |
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Gender | Male |
Speciality | Surgery |
Location | 1001 Main Street, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366471997 | NPI | - | NPPES |
036070170-1 | Medicaid | IL | |
7215166 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036070170 (Illinois) | Primary |
Entity Name | Peoria Surgical Group, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275542045 PECOS PAC ID: 9335039882 Enrollment ID: O20040405001013 |
Mailing Address | Practice Location Address |
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Dr John S Marshall, MD 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 Ph: (309) 495-0200 | Dr John S Marshall, MD 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 Ph: (309) 495-0200 |
Alexandra Roper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Charles Aprahamian, MD Surgery Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948 | |
Dr. Andy C. Chiou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Mr. James Murray Jeffries Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500 | |
Mr. Julius P. Bonello, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, Suite 300, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Dr. Jeffrey L Williamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 530, Peoria, IL 61602 Phone: 309-672-5975 Fax: 309-655-1678 | |
Jessica L Secor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7725 N Knoxville Ave, Peoria, IL 61614 Phone: 309-495-0250 Fax: 309-689-9035 |