Dr Robert G Einhorn, MD | |
1200 N East St, Olney, IL 62450-2499 | |
(618) 395-5222 | |
(618) 395-8552 |
Full Name | Dr Robert G Einhorn |
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Gender | Male |
Speciality | Pediatrics |
Location | 1200 N East St, Olney, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558475590 | NPI | - | NPPES |
370004317 | Other | RAILROAD MEDICARE | |
036057099 | Medicaid | IL | |
122138 | Other | IL | HEALTHLINK |
062288 | Other | IL | HEALTH ALLIANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036057099 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
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Dr Robert G Einhorn, MD 1200 N East St, Olney, IL 62450-2499 Ph: (618) 395-5222 | Dr Robert G Einhorn, MD 1200 N East St, Olney, IL 62450-2499 Ph: (618) 395-5222 |
Rachel Clow, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 363 N West St, Olney, IL 62450 Phone: 618-392-9400 | |
Cecilia Howell-canada, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Mr. David R Benson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 |