| Osf Saint Anthony's Health Center | |
|
1 Saint Anthonys Way Alton IL 62002-4568 | |
| (618) 465-2571 | |
| Not Available |
| Full Name | Osf Saint Anthony's Health Center |
|---|---|
| Speciality | Surgery |
| Location | 1 Saint Anthonys Way, Alton, Illinois |
| Authorized Official Name and Position | Robert C. Sehring (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Saint Anthony's Health Center 124 Sw Adams St Attn: Strategic Reimbursement Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Saint Anthony's Health Center 1 Saint Anthonys Way Alton IL 62002-4568 Ph: (618) 465-2571 |
| NPI Number | 1437551322 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4284541806 |
|---|---|
| Medicare Enrollment ID | O20150710000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437551322 | NPI | - | NPPES |
| 000 | Medicaid | IL | |
| DX1648 | Other | IL | RAILROAD MEDICARE |
| Provider Name | John N Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053421248 PECOS PAC ID: 6901876424 Enrollment ID: I20040730000277 |
| Provider Name | Rama K Gondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396738282 PECOS PAC ID: 4789582487 Enrollment ID: I20050309000225 |
| Provider Name | Kren K Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447443544 PECOS PAC ID: 2961592100 Enrollment ID: I20071212000348 |
| Provider Name | Robert G Lutan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528051422 PECOS PAC ID: 3274531934 Enrollment ID: I20101020000532 |
| Provider Name | Lalithkumar K Chouhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124011028 PECOS PAC ID: 1850284498 Enrollment ID: I20101026001463 |
| Provider Name | Saad R Bitar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598758583 PECOS PAC ID: 4587640529 Enrollment ID: I20101108001415 |
| Provider Name | Suresh K Narayanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720071244 PECOS PAC ID: 1355359621 Enrollment ID: I20110412000319 |
| Provider Name | Michael P Homan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952410060 PECOS PAC ID: 1850551409 Enrollment ID: I20120320000228 |
| Provider Name | Lea A Varble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023415213 PECOS PAC ID: 8123332194 Enrollment ID: I20150804005493 |
| Provider Name | John M Pargulski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629051958 PECOS PAC ID: 2860445418 Enrollment ID: I20180530000000 |
| Provider Name | Mohammad Nour Zabad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609109883 PECOS PAC ID: 0244487890 Enrollment ID: I20190814000264 |
| Provider Name | Staci M Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457604704 PECOS PAC ID: 4486983756 Enrollment ID: I20190911002700 |
| Provider Name | Sara J Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447884481 PECOS PAC ID: 7012323470 Enrollment ID: I20210309002683 |
| Provider Name | Jill Comerford Schreiber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942949342 PECOS PAC ID: 0840670956 Enrollment ID: I20220707001397 |
| Provider Name | Ari Samuel Lakritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942947684 PECOS PAC ID: 1951785310 Enrollment ID: I20220902000634 |
| Provider Name | Kishore J Harjai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588631212 PECOS PAC ID: 0345313599 Enrollment ID: I20220927002169 |
| Provider Name | Chein-jung Lin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346654308 PECOS PAC ID: 6507084449 Enrollment ID: I20231129003750 |
| Provider Name | Marla Gail Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437552130 PECOS PAC ID: 0345692570 Enrollment ID: I20240123003533 |
| Provider Name | Vanna Kaye Lenhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891150660 PECOS PAC ID: 8123463288 Enrollment ID: I20240228002030 |
| Provider Name | Rachel Cooper Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013676170 PECOS PAC ID: 5496197378 Enrollment ID: I20240523001018 |
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