Frank Peppers, MD | |
834 N Seminary St, Suite 302, Galesburg, IL 61401-2852 | |
(309) 342-2171 | |
Not Available |
Full Name | Frank Peppers |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 834 N Seminary St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821097395 | NPI | - | NPPES |
0361022981 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036102298 (Illinois) | Primary |
Entity Name | Knox Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265481006 PECOS PAC ID: 6305813411 Enrollment ID: O20040916000542 |
Entity Name | St Mary Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Frank Peppers, MD 834 N Seminary St, Suite 302, Galesburg, IL 61401-2852 Ph: (309) 342-2171 | Frank Peppers, MD 834 N Seminary St, Suite 302, Galesburg, IL 61401-2852 Ph: (309) 342-2171 |
Matthew J Weidman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2028 N Seminary St, Galesburg, IL 61401 Phone: 309-647-0201 | |
Lynn L Greeley, M.C. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
Amy S Larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, Suite 304, Galesburg, IL 61401 Phone: 309-342-2144 Fax: 309-342-5104 | |
B. S. Kesavan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 834 N Seminary St, Suite 302, Galesburg, IL 61401 Phone: 309-342-2171 Fax: 309-342-7205 | |
Subash Paralikar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 834 N Seminary St, 304, Galesburg, IL 61401 Phone: 309-342-2144 Fax: 309-342-5104 |