| Dr Kim Wyatt, MD | |
|
15 Founders Ln, Jacksonville, IL 62650-3919 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Dr Kim Wyatt |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 15 Founders Ln, Jacksonville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487609640 | NPI | - | NPPES |
| 036106337 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036106337 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Wyatt, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Dr Kim Wyatt, MD 15 Founders Ln, Jacksonville, IL 62650-3919 Ph: (217) 528-7541 |
Dr. Benjamin E. Montgomery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 W Lafayette Ave Ste D, Jacksonville, IL 62650 Phone: 217-479-0290 | |
John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030 | |
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359 | |
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Mosam B Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 |