| Jeffrey F Fullenkamp, DO | |
|
2701 17th St, Rock Island, IL 61201-5351 | |
| (309) 779-5000 | |
| Not Available |
| Full Name | Jeffrey F Fullenkamp |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2701 17th St, Rock Island, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225017965 | NPI | - | NPPES |
| 3994418 | Medicaid | IA | |
| 2994418 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | (Illinois) | Secondary |
| 207L00000X | Anesthesiology | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey F Fullenkamp, DO Po Box 689, Lake Forest, IL 60045-0689 Ph: () - | Jeffrey F Fullenkamp, DO 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-5000 |
Tarikere L Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Kerry P Panozzo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4110 Blackhawk Rd Ste 2, Rock Island, IL 61201 Phone: 309-428-7055 Fax: 309-265-0118 | |
Hari Babu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Steven M Freed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Archana G Wagle, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Mary Francis M Nuguid, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 |