Liana Sophie Beauchamp, MD | |
855 Illini Dr Ste 301, Silvis, IL 61282-2904 | |
(309) 281-2090 | |
Not Available |
Full Name | Liana Sophie Beauchamp |
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Gender | Female |
Speciality | Family Medicine |
Location | 855 Illini Dr Ste 301, Silvis, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1669052544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036.167543 (Illinois) | Primary |
Entity Name | Proctor Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Mailing Address | Practice Location Address |
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Liana Sophie Beauchamp, MD 1823 Rural St Apt 1, Rockford, IL 61107-3283 Ph: () - | Liana Sophie Beauchamp, MD 855 Illini Dr Ste 301, Silvis, IL 61282-2904 Ph: (309) 281-2090 |
Michael A Cottone, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 Illini Dr, Ste 300, Silvis, IL 61282 Phone: 309-792-7061 Fax: 309-792-4938 | |
Josiah F.k. Carroll, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 Illini Dr, Ste 300, Silvis, IL 61282 Phone: 309-281-2050 Fax: 309-281-2059 | |
James A Bull, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 Illini Dr, Ste 300, Silvis, IL 61282 Phone: 309-792-7060 Fax: 309-792-4935 | |
Helen Kapsas, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 801 13th Ave, Cogent Healthcare, Silvis, IL 61282 Phone: 309-792-6588 Fax: 309-792-6562 | |
John C Dannenfeldt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Illini Dr, Ste 300, Silvis, IL 61282 Phone: 309-281-2090 Fax: 309-281-2099 |