Dr Mark Edward Mcgranahan, MD | |
1230 George E. Chance Parkway, Caseyville, IL 62232 | |
(618) 345-5437 | |
Not Available |
Full Name | Dr Mark Edward Mcgranahan |
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Gender | Male |
Speciality | Pediatrics |
Location | 1230 George E. Chance Parkway, Caseyville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215922000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-111323 (Illinois) | Primary |
Entity Name | Granite City Hospitalist Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
Mailing Address | Practice Location Address |
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Dr Mark Edward Mcgranahan, MD 1230 George E. Chance Parkway, Caseyville, IL 62232 Ph: (618) 345-5437 | Dr Mark Edward Mcgranahan, MD 1230 George E. Chance Parkway, Caseyville, IL 62232 Ph: (618) 345-5437 |
Dr. Lori Lee Eberhart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1230 George E. Chance Parkway, Caseyville, IL 62232 Phone: 618-345-5437 Fax: 618-344-9246 | |
Mrs. Melissa Hill, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1230 Tanglewood Pkwy, Caseyville, IL 62232 Phone: 618-346-7640 Fax: 618-344-9246 | |
Dr. Jean Evelyn Vogel Wagner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1230 George E Chance Parkway, Caseyville, IL 62232 Phone: 618-345-5437 Fax: 618-344-9246 |