Stephen Tulley, DO | |
350 N Wall St, Kankakee, IL 60901-2991 | |
(815) 933-1671 | |
Not Available |
Full Name | Stephen Tulley |
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Gender | Male |
Speciality | Internal Medicine |
Location | 350 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629693726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.076412 (Illinois) | Primary |
Entity Name | Associates Of Integrated Medicine Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427407345 PECOS PAC ID: 3779876636 Enrollment ID: O20160729001339 |
Mailing Address | Practice Location Address |
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Stephen Tulley, DO 350 N Wall St, Kankakee, IL 60901-2991 Ph: (815) 933-1671 | Stephen Tulley, DO 350 N Wall St, Kankakee, IL 60901-2991 Ph: (815) 933-1671 |
Dr. Martin T Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 108, Kankakee, IL 60901 Phone: 888-220-6432 Fax: 630-654-4253 | |
Dr. Raju Zachariah Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846 | |
Dr. Lynn G Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 | |
Mario Gerard Massullo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1710 W. Court St., Kankakee, IL 60901 Phone: 815-936-3200 Fax: 815-936-3203 | |
Dr. Samrat Umesh Khanna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846 | |
Dr. Rahul Patel, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Suresh K Didwania, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 400, Kankakee, IL 60901 Phone: 815-932-4614 Fax: 815-932-4615 |