Dr Ronald Chediak, MD | |
3000 W Deyoung St, Ste 524, Marion, IL 62959-5551 | |
(618) 993-1421 | |
Not Available |
Full Name | Dr Ronald Chediak |
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Gender | Male |
Speciality | Pediatrics |
Location | 3000 W Deyoung St, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184627861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 036108590 (Illinois) | Primary |
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
Mailing Address | Practice Location Address |
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Dr Ronald Chediak, MD 3000 W Deyoung St, Ste 524, Marion, IL 62959-5551 Ph: () - | Dr Ronald Chediak, MD 3000 W Deyoung St, Ste 524, Marion, IL 62959-5551 Ph: (618) 993-1421 |
Carline Mekem Mbeumo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mrs. Bindu Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 East Walnut, Suite 6, Marion, IL 62901 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Jeremy Paul Gerwe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Sadashivaiah Bhaskar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Pradeep Gopala Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 |