| Dr Robert Gibson Carney Jr, MD | |
|
1770 E Lake Shore Dr, Suite #301, Decatur, IL 62521-3832 | |
| (217) 429-2636 | |
| (217) 429-2687 |
| Full Name | Dr Robert Gibson Carney Jr |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1770 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275598542 | NPI | - | NPPES |
| 071128778 | Other | IL | RR MEDICARE PROVIDER |
| 00882 | Other | IL | PAYER ID |
| 036049753 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036-049753 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Gibson Carney Jr, MD 1770 E Lake Shore Dr, Suite #301, Decatur, IL 62521-3832 Ph: (217) 429-2636 | Dr Robert Gibson Carney Jr, MD 1770 E Lake Shore Dr, Suite #301, Decatur, IL 62521-3832 Ph: (217) 429-2636 |
Dr. Francis Chaepoong Lee, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 606 W Pershing Rd, Suite E, Decatur, IL 62526 Phone: 217-877-7171 Fax: 217-877-7481 | |
Dr. Debra Babich, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 |