Kelly A Rourke, MD | |
108 Gateway Commerce Center Dr N, Edwardsville, IL 62025-2818 | |
(618) 219-7470 | |
Not Available |
Full Name | Kelly A Rourke |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 108 Gateway Commerce Center Dr N, Edwardsville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033185285 | NPI | - | NPPES |
110178092 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R8N25 (Missouri) | Primary |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073739041 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 |
Mailing Address | Practice Location Address |
---|---|
Kelly A Rourke, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (618) 219-7470 | Kelly A Rourke, MD 108 Gateway Commerce Center Dr N, Edwardsville, IL 62025-2818 Ph: (618) 219-7470 |
Nueki Naate, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1188 South State Route 157, Edwardsville, IL 62025 Phone: 618-692-5900 | |
Dr. William Bonzelet, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Seven 157 Center, Edwardsville, IL 62025 Phone: 618-659-2371 Fax: 618-659-2375 | |
Verah Bonareri, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Hairpin Dr, Edwardsville, IL 62026 Phone: 618-650-3705 | |
Dr. David Brian Yablonsky, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1181 State Rt 157 Suite 200, Edwardsville, IL 62025 Phone: 618-288-8850 Fax: 618-288-8943 | |
Janiece N Stewart, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Club Centre Ct Ste 3, Edwardsville, IL 62025 Phone: 314-257-0060 Fax: 314-912-0208 |