Dr William Scurlock, MD | |
110 S 17th St, St Charles, IL 60174-2526 | |
(630) 377-2800 | |
(630) 377-6774 |
Full Name | Dr William Scurlock |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 110 S 17th St, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699726505 | NPI | - | NPPES |
036061339 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036061339 (Illinois) | Primary |
Entity Name | St. Charles Family Medical Center, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912054891 PECOS PAC ID: 8628171246 Enrollment ID: O20070319000583 |
Mailing Address | Practice Location Address |
---|---|
Dr William Scurlock, MD 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 469-9200 | Dr William Scurlock, MD 110 S 17th St, St Charles, IL 60174-2526 Ph: (630) 377-2800 |
Robert Wayne Long, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Tyler Rd, St Charles, IL 60174 Phone: 630-584-2070 | |
Dr. Robert Joseph Calabria, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-513-8275 Fax: 630-513-9208 | |
Elizabeth W Heredia, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-7900 Fax: 630-377-8007 | |
Autumn E Bernicky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2900 Foxfield Rd Ste 307, St Charles, IL 60174 Phone: 630-208-3200 Fax: 630-208-3201 | |
Madeline Carol Kwiatkowski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-7900 Fax: 630-377-8007 | |
Dr. Kevin Philip Wakeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-377-6500 | |
Dr. Wilbert H. Hohm, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 S 4th St, St Charles, IL 60174 Phone: 630-584-1496 |