| Colleen M Canavan, PA | |
|
390 Maple Summit Rd, Jerseyville, IL 62052-2000 | |
| (618) 498-2101 | |
| (618) 498-8153 |
| Full Name | Colleen M Canavan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 390 Maple Summit Rd, Jerseyville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205090644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085000651 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen M Canavan, PA 390 Maple Summit Rd, Jerseyville, IL 62052-2000 Ph: (618) 498-2101 | Colleen M Canavan, PA 390 Maple Summit Rd, Jerseyville, IL 62052-2000 Ph: (618) 498-2101 |
Abby Marie Baalman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Mrs. Lindsey Buckles, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 903 S State St, Jerseyville, IL 62052 Phone: 618-639-9255 Fax: 618-639-8100 | |
Robert E Whitman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Maple Summit Rd, Jch Ortho Center, Jerseyville, IL 62052 Phone: 618-498-8472 Fax: 618-498-8461 | |
Lillian G Shively, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 270 Maple Summit Rd, Mcdow Bldg, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 |