Dr John Sudkamp, MD | |
602 West University Ave, Urbana, IL 61801 | |
(217) 383-3303 | |
Not Available |
Full Name | Dr John Sudkamp |
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Gender | Male |
Speciality | Anesthesiology |
Location | 602 West University Ave, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730141524 | NPI | - | NPPES |
036105989 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036105989 (Illinois) | Primary |
Entity Name | Kirby Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
Entity Name | Central Illinois Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558425462 PECOS PAC ID: 7012944648 Enrollment ID: O20071211000663 |
Entity Name | Anesthesia Pain Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
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Dr John Sudkamp, MD Po Box 6002, Urbana, IL 61803-6002 Ph: (217) 337-4105 | Dr John Sudkamp, MD 602 West University Ave, Urbana, IL 61801 Ph: (217) 383-3303 |
Dr. Walter Knoll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Dr. Jennifer Ann Hickman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Timothy Andrew Ade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Delbert Craig Klump, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Sadru A Dharamsy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 Fax: 217-383-3265 | |
Venugopal Polasani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Matthew Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 |