Jim Hong, MD | |
104 Magnolia Dr Ste A, Glen Carbon, IL 62034-1595 | |
(618) 288-9466 | |
Not Available |
Full Name | Jim Hong |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 104 Magnolia Dr Ste A, Glen Carbon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487662656 | NPI | - | NPPES |
036114185 - 4 | Medicaid | IL | |
036114185001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036114185 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036114185 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Entity Name | Southern Illinois Family Medicine Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629086806 PECOS PAC ID: 8628071172 Enrollment ID: O20060823000090 |
Mailing Address | Practice Location Address |
---|---|
Jim Hong, MD 104 Magnolia Dr Ste A, Glen Carbon, IL 62034-1595 Ph: (618) 288-9466 | Jim Hong, MD 104 Magnolia Dr Ste A, Glen Carbon, IL 62034-1595 Ph: (618) 288-9466 |
Kenneth Max Eakin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 Fax: 618-288-9153 | |
Michael E Mulligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 | |
Raymond K Weber, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 |