Louis Kienzler Graham, MD | |
751 N Rutledge St, Suite 3100, Springfield, IL 62702-4968 | |
(217) 545-8000 | |
(217) 545-7393 |
Full Name | Louis Kienzler Graham |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 12 Years |
Location | 751 N Rutledge St, Springfield, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699039404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 036-142743 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 036-142743 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Decatur Memorial Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Siu Physicians And Surgeons Inc | 2365352820 | 282 |
Entity Name | Siu Physicians & Surgeons Inc |
---|---|
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 |
---|---|
Louis Kienzler Graham, MD 751 N Rutledge St, Po Box 19643, Springfield, IL 62702-4968 Ph: (217) 545-8000 | Louis Kienzler Graham, MD 751 N Rutledge St, Suite 3100, Springfield, IL 62702-4968 Ph: (217) 545-8000 |
Seth Bires, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 | |
James Patrick Newman, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
John O Watson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-547-9247 | |
Jordan Sestak Bruce, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 | |
Jason Todd Royer, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685 Fax: 217-529-0988 | |
Ellyn Leuelling, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 128 Nottingham Rd, Springfield, IL 62704 Phone: 217-502-8587 |