Tomislav Lakic, MD | |
101 S Major St, Eureka, IL 61530-1246 | |
(309) 304-2100 | |
Not Available |
Full Name | Tomislav Lakic |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 101 S Major St, Eureka, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629057872 | NPI | - | NPPES |
036110508 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 45871 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 36110508 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Epss Peoria Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
Entity Name | Genesis Medical Center, Aledo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225380967 PECOS PAC ID: 7315190436 Enrollment ID: O20130405000438 |
Entity Name | Epss Llc - East Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841533882 PECOS PAC ID: 8729213459 Enrollment ID: O20140213001518 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Entity Name | Epss North Region Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194282707 PECOS PAC ID: 0345582474 Enrollment ID: O20190422000388 |
Entity Name | Carle Eureka Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Tomislav Lakic, MD 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 304-2100 | Tomislav Lakic, MD 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 304-2100 |
Dr. John C Kell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 S Major St, Eureka, IL 61530 Phone: 309-467-2371 Fax: 309-467-2963 | |
Nicholas Ryan Reinhart, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 South Major Street, 101 South Major Street, Eureka, IL 61530 Phone: 309-467-4145 |