Michael John Sergeant Sr, MD | |
475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 | |
(815) 939-7421 | |
Not Available |
Full Name | Michael John Sergeant Sr |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 475 Brown Blvd, Bourbonnais, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205965936 | NPI | - | NPPES |
036057704 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036057704 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
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Michael John Sergeant Sr, MD 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 Ph: (815) 939-7421 | Michael John Sergeant Sr, MD 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 Ph: (815) 939-7421 |
Mrs. Azra N Pappa, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 Heritage Dr, Ste 102, Bourbonnais, IL 60914 Phone: 815-937-8204 Fax: 815-937-8798 | |
Mr. Ming Xu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 21 Heritage Drive, Suite 102, Bourbonnais, IL 60914 Phone: 815-937-8204 Fax: 815-937-8798 |