John C Hendricks, MD | |
2701 17th St, Rock Island, IL 61201-5351 | |
(309) 779-5000 | |
Not Available |
Full Name | John C Hendricks |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 2701 17th St, Rock Island, 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 |
---|---|---|---|
1750381935 | NPI | - | NPPES |
036076685 | Medicaid | IL | |
0990986 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD-30791 (Iowa) | Secondary |
207L00000X | Anesthesiology | 036076685 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Entity Name | John C Hendricks Md Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225183437 PECOS PAC ID: 4981699352 Enrollment ID: O20070319000291 |
Mailing Address | Practice Location Address |
---|---|
John C Hendricks, MD Po Box 689, Lake Forest, IL 60045-0689 Ph: (847) 615-2200 | John C Hendricks, MD 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 | |
Jeffrey F Fullenkamp, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
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 |