Richard Mark Styczynski, MD | |
1300 W 2nd St, Rock Falls, IL 61071-1005 | |
(815) 626-2230 | |
Not Available |
Full Name | Richard Mark Styczynski |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1300 W 2nd St, Rock Falls, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245329366 | NPI | - | NPPES |
110069191 | Other | RAILROAD MEDICARE | |
036060697 | Medicaid | IL | |
011550 | Other | IL | HEALTH ALLIANCE MEDICAL |
9815737 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036060697 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036060697 (Illinois) | Primary |
Entity Name | Cgh Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
Mailing Address | Practice Location Address |
---|---|
Richard Mark Styczynski, MD 101 E Miller Rd, Sterling, IL 61081-1252 Ph: (815) 625-4790 | Richard Mark Styczynski, MD 1300 W 2nd St, Rock Falls, IL 61071-1005 Ph: (815) 626-2230 |
Parveen K Varma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 | |
Dr. Denice Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 Fax: 815-626-2231 | |
Susan Provow, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Rock Falls, IL 61071 Phone: 815-625-4790 |