Lanie E Eagleton, MD | |
751 N Rutledge St, Rm 0300, Springfield, IL 62702-4909 | |
(217) 545-5864 | |
(217) 545-4734 |
Full Name | Lanie E Eagleton |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
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 |
---|---|---|---|
1205824059 | NPI | - | NPPES |
036052906 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 036052906 (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 |
---|---|
Lanie E Eagleton, MD Po Box 19636, Springfield, IL 62794-9636 Ph: (217) 545-0187 | Lanie E Eagleton, MD 751 N Rutledge St, Rm 0300, Springfield, IL 62702-4909 Ph: (217) 545-5864 |
Zachariah Gurnsey, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Fadel Ahmed Bofarrag, MD, MPH Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D434, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7063 | |
Winston J Townsend, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-528-7541 | |
Dr. Mukul Bhattarai, MD. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |