John Strom, MD | |
403 E 1st St, Dixon, IL 61021 | |
(815) 285-5600 | |
(815) 285-5602 |
Full Name | John Strom |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 403 E 1st St, Dixon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184714149 | NPI | - | NPPES |
9815737 | Other | IL | BLUE CROSS BLUE SHIELD |
F400378211 | Other | IL | MEDICARE PTAN |
036065016 | Medicaid | IL | |
091397 | Other | IL | HEALTH ALLIANCE MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036065016 (Illinois) | Primary |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Mailing Address | Practice Location Address |
---|---|
John Strom, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5600 | John Strom, MD 403 E 1st St, Dixon, IL 61021 Ph: (815) 285-5600 |
David Joseph Powers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 315, Dixon, IL 61021 Phone: 815-288-1035 Fax: 815-284-0584 | |
Dr. Matthew Taylor Hefty, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 316, Dixon, IL 61021 Phone: 815-285-5842 Fax: 815-285-5845 | |
Dr. Osmaan Abbas Khawaja, MD Surgery Medicare: Medicare Enrolled Practice Location: 215 E 1st St, Suite 105, Dixon, IL 61021 Phone: 815-285-5842 Fax: 815-285-5845 |