Glendon Burress, | |
2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | |
(815) 971-2000 | |
Not Available |
Full Name | Glendon Burress |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 2300 N. Rockton Ave., Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639190200 | NPI | - | NPPES |
036087077 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036087077 (Illinois) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 036087077 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Entity Name | Bonaventure Medical Foundation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
Mailing Address | Practice Location Address |
---|---|
Glendon Burress, 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 Ph: (815) 971-2000 | Glendon Burress, 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 Ph: (815) 971-2000 |
Dr. Karen J Dyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 | |
Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 | |
Dr. Gary Patrick Fernando, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742 | |
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570 | |
Patricia L. Moody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2780 Mcfarland Rd, Rockford, IL 61107 Phone: 815-971-2000 Fax: 815-637-0400 | |
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528 |