Julio R Loret De Mola, MD | |
751 N Rutledge St, Suite 0100, Springfield, IL 62702-4968 | |
(217) 545-8000 | |
(217) 545-3119 |
Full Name | Julio R Loret De Mola |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Reproductive Endocrinology |
Location | 751 N Rutledge St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326071887 | NPI | - | NPPES |
036118863 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-118863 (Illinois) | Secondary |
207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 036-118863 (Illinois) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
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Julio R Loret De Mola, MD 751 N Rutledge St, Ste 3100, Springfield, IL 62702-4968 Ph: (217) 545-8000 | Julio R Loret De Mola, MD 751 N Rutledge St, Suite 0100, Springfield, IL 62702-4968 Ph: (217) 545-8000 |
Robert Marc Abrams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, 6w100, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 | |
Jillian Henry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St, 2nd Floor, Springfield, IL 62702 Phone: 217-757-7932 Fax: 217-757-7920 | |
Grace Welp, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7958 | |
Dr. Sara Beth Rubenacker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 | |
Dustin Stehling, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
Nora Taylor Maczura, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-535-3665 | |
Dr. Elizabeth Ramsey Unal, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, Ste 6w100, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 |