Shannon L Egan, APRN,CNP | |
3315 N Seminary St, Galesburg, IL 61401-1251 | |
(309) 344-1000 | |
Not Available |
Full Name | Shannon L Egan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3315 N Seminary St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043098445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.028961 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209028961 (Illinois) | Primary |
Entity Name | St Mary Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
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 |
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Shannon L Egan, APRN,CNP 161 N Lake Storey Rd, Galesburg, IL 61401-8559 Ph: (309) 221-9806 | Shannon L Egan, APRN,CNP 3315 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-1000 |
Melissa Hajostek, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 | |
Sharon L Marguglio, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5114 | |
Jessica Logan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2779 Volunteer Dr Ste 201, Galesburg, IL 61401 Phone: 309-345-9400 Fax: 309-345-9401 | |
Mrs. Susie Marie Avery, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1887 Sunset Dr, Galesburg, IL 61401 Phone: 309-371-9300 | |
Miss Monica Lynn Interial, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1377 W Main St, Galesburg, IL 61401 Phone: 773-641-8904 | |
Bethany Mcgraw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 |