Prudence Hartwell, MD | |
1701 Curtis Rd, Champaign, IL 61822-9678 | |
(217) 365-6202 | |
Not Available |
Full Name | Prudence Hartwell |
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Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 1701 Curtis Rd, Champaign, 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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1376930750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 036146564 (Illinois) | Primary |
Entity Name | Richland Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Prudence Hartwell, MD 611 W Park St, Urbana, IL 61801-2529 Ph: () - | Prudence Hartwell, MD 1701 Curtis Rd, Champaign, IL 61822-9678 Ph: (217) 365-6202 |
Joseph J Keeley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6106 | |
Myisha Z. Porter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 | |
Haley E Eastin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-0188 | |
Dr. Laura L Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 | |
Dr. Susan G. Bolton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6110 | |
Mark S Musselman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-1234 |