| Dr Miriam Jill Sullivan, MD | |
|
800 E Carpenter St, Department Of Radiology, Springfield, IL 62702-5324 | |
| (217) 544-6464 | |
| (217) 525-5671 |
| Full Name | Dr Miriam Jill Sullivan |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 800 E Carpenter St, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851404768 | NPI | - | NPPES |
| 36063951 | Medicaid | IL | |
| P00028347 | Other | IL | RR MEDICARE |
| 300015701 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036063951 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miriam Jill Sullivan, MD 319 E Madison St Ste 2c, Springfield, IL 62701-3121 Ph: (217) 544-2149 | Dr Miriam Jill Sullivan, MD 800 E Carpenter St, Department Of Radiology, Springfield, IL 62702-5324 Ph: (217) 544-6464 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |