Mr Robert F Ladove, MD | |
916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | |
(618) 628-8211 | |
(618) 628-0883 |
Full Name | Mr Robert F Ladove |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 916 Talon Dr, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811076052 | NPI | - | NPPES |
08220357 | Other | IL | BCBS PPO PROV# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (Illinois) | Primary |
Entity Name | Illinois Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert F Ladove, MD 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 Ph: (618) 628-8211 | Mr Robert F Ladove, MD 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 Ph: (618) 628-8211 |
Jacob Stephen Thompson, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880 | |
Dr. Ulysses Fernandez-miro Jr., DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-9355 Fax: 618-206-2332 | |
Dr. James Robert Bobco Jr., MD General Practice Medicare: Medicare Enrolled Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-9355 Fax: 618-206-2332 | |
Dr. Crystal Vaughn Manse, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-5480 Fax: 618-222-4792 | |
Dr. Ross Stanton, MD, JD, MPH General Practice Medicare: Medicare Enrolled Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-222-4600 Fax: 618-222-4792 |