Dr Liberty Ann Balbort, MD, MPH | |
505 E Grant St, Suite 202, Macomb, IL 61455-3352 | |
(309) 833-1729 | |
Not Available |
Full Name | Dr Liberty Ann Balbort |
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Gender | Female |
Speciality | Pediatrics |
Location | 505 E Grant St, Macomb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356597090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036126799 (Illinois) | Primary |
Entity Name | Southeast Iowa Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Entity Name | Fort Madison Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083764393 PECOS PAC ID: 8729971841 Enrollment ID: O20040203001066 |
Entity Name | Van Buren County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316063076 PECOS PAC ID: 7214829530 Enrollment ID: O20040329001814 |
Mailing Address | Practice Location Address |
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Dr Liberty Ann Balbort, MD, MPH 505 E Grant St, Suite 202, Macomb, IL 61455-3352 Ph: (309) 833-1729 | Dr Liberty Ann Balbort, MD, MPH 505 E Grant St, Suite 202, Macomb, IL 61455-3352 Ph: (309) 833-1729 |
Khaled A Dabash, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 E Grant St, Macomb, IL 61455 Phone: 309-836-5437 Fax: 309-836-5417 | |
Dr. An-shih Lin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St, Suite 201, Macomb, IL 61455 Phone: 309-833-3068 Fax: 309-833-3645 | |
Mrs. Kymberly Danielle Lockard, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St Ste 103, Macomb, IL 61455 Phone: 309-833-1303 Fax: 309-836-5729 | |
Dr. Leilani Altagracia Segura, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 E Grant St Ste 111, Macomb, IL 61455 Phone: 309-833-1729 Fax: 309-836-1779 | |
Dr. Mary Kathleen Lockard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St, Suite 103, Macomb, IL 61455 Phone: 309-833-3536 Fax: 309-836-5729 |