Tim Vega, | |
319 N 4th St, Chillicothe, IL 61523-2059 | |
(309) 673-6464 | |
(309) 274-3120 |
Full Name | Tim Vega |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 319 N 4th St, Chillicothe, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508956897 | NPI | - | NPPES |
036077755 | Medicaid | IL | |
R00980 | Other | IL | MEDICARE INDIVIDUAL # |
833230 | Other | IL | MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-077755 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Tim Vega, 319 N 4th St, Chillicothe, IL 61523-2059 Ph: (309) 673-6464 | Tim Vega, 319 N 4th St, Chillicothe, IL 61523-2059 Ph: (309) 673-6464 |
Bradley Bock, APRN, FNP-BC, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St, Chillicothe, IL 61523 Phone: 309-274-4336 Fax: 309-274-3120 | |
Azizur Rehman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Sweetbriar Drive, Chillicothe, IL 61523 Phone: 309-274-2102 | |
Dr. Timothy J Lawless, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N 4th St, Chillicothe, IL 61523 Phone: 309-274-2108 Fax: 309-274-6920 |