Sydney Desollar, | |
701 N 1st St, Springfield, IL 62781-0001 | |
(217) 788-3000 | |
Not Available |
Full Name | Sydney Desollar |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 701 N 1st St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811587314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.454524 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209025758 (Illinois) | Primary |
Entity Name | Midwest Emergency Department Specialists Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
Entity Name | Passavant Memorial Area Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760994040 PECOS PAC ID: 3173503281 Enrollment ID: O20180508002390 |
Mailing Address | Practice Location Address |
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Sydney Desollar, 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3000 | Sydney Desollar, 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3000 |
Alissa Danielle Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0800 | |
Lindsey Ostermeier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Jeremy Elliott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Jessica L Lee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7144 | |
Mr. Jay Benoit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 5, Springfield, IL 62702 Phone: 217-545-8000 | |
Rebecca L Saunders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305 | |
Melanie R Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0730 Fax: 217-862-0822 |