| Mario L Gospodinoff, MD | |
|
1301 Enterprise Way, Marion, IL 62959-4442 | |
| (618) 993-1122 | |
| Not Available |
| Full Name | Mario L Gospodinoff |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1301 Enterprise Way, Marion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942285572 | NPI | - | NPPES |
| 036040279 | Medicaid | IL | |
| 370966854011 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036040279 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mario L Gospodinoff, MD 1301 Enterprise Way, Marion, IL 62959-4442 Ph: (618) 993-1122 | Mario L Gospodinoff, MD 1301 Enterprise Way, Marion, IL 62959-4442 Ph: (618) 993-1122 |
Janet D Woolery, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 843-667-6224 | |
Dr. Lisa Star Mccutchen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, 116a, Marion, IL 62959 Phone: 618-993-4161 | |
Dr. Margaret L. J. Hayes, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3111 Williamson County Parkway, Marion, IL 62959 Phone: 618-997-3647 Fax: 618-998-1328 | |
Naeem A Qureshi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-998-0888 Fax: 618-993-1808 | |
Dr. Arlene Eloise Miksanek, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5668 | |
Victoria Lisa Codispoti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-997-3645 Fax: 618-998-1328 | |
Dr. Shelley J Brown, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5668 |